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�CITY OF ORONO * 2 PJ 1 4 - 0 PJ 8 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/06/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 570 BIG ISLAND / <br /> P1N : 22-117-23-31-0029 � <br /> i' <br /> LEGAL DESC : PLEASANT V[F,W LAKE MTKA ' <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPF, ; MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING - U��DEFINED <br /> VALUATION : $ 5,033.00 <br /> NO"I'E: REPLACE WINDOWS IN EXISTING OPGNINGS <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> STATE SURCHARGE(VALUATION) 2.52 <br /> ABBA ROOFING& WINDOWS MAIL-IN FEE 2.00 <br /> TOTAL 137.27 <br /> Minnesota State License#: BUIL-BC459167 Payment(s) <br /> CREDIT CARD 0640 137.27 <br /> OWNER <br /> ROBB JR., SELDEN THOMPSON <br /> 5010 MANITOU RD <br /> EXCELSIOR, MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> I'he work for which this pennit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State Building Code. This permit is for only the work describcd and does <br /> not grant pemiission fbr additional or related work which requires scparatc <br /> permits. All provisions of laws and ordinanccs govcrning this type of work <br /> shall be compied with whether or not specitied herein."I his permit vvill <br /> expire and become null and void ifconstruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections arc <br /> requested in conformance with the State Building Code.'I'his permit may be <br /> revoked at any time for due cause. <br /> C � ) �/�/� o � �, � , � <br /> Applicant Permitee Signature Date '� Issue 3y Signature Date <br />