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� , CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 3 - PJ 1 1 2 5 * <br /> DATE ISSUED: 10/25/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 980 COX FARM RD <br /> PIN : 27-118-23-33-0012 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 9,697.00 <br /> NOTE: REPLACf?5 CASEMEN"I�WINDOWS IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 4.85 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS, MN 55343 MAIL-IN FEE 2.00 <br /> (952)277-1600 TOTAL 198.60 <br /> Minnesota State License#: BC239369 PAID WITH CC# 3989 <br /> OWNER <br /> WILLSON, CHRIS & SARAH <br /> 980 COX FARM RD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEME1vT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governin�this type of work <br /> shall be compied with w�hcther or not specified herein.This permit will <br /> expire and become null and void if construction 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wi[h the State Building Code.This permit may bc <br /> revoked at any time for due cause. <br /> �l�l Z.5/ � ��>�,,�,�� l(� l d�l <br /> npplicant ermitee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />