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CITY OF ORONO * 2 0 1 4 - 0 0 6 4 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/26/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4650 CREEKWOOD"rR <br /> PIN : 30-118-23-33-0006 <br /> LEGAL DF,SC : PAINTERS WOODS <br /> : LOT 004 B LOC K 001 <br /> PERMIT TYPE : M[NOR ALTERA"I'IONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY ,i: O/S.BUILL?1N� - UNDEFI�ED �' <br /> VALUATION : $ 3,700.00 <br /> NO"Il�',: R}�:PI,nCI-:3 WI1���DOWS IN EX[S"I'WG OPENINGS <br /> APPLICANT PERMIT FI�?E SCHEDULE I03.25 <br /> STA"I'E SURCHARGE(VALUATION) 1.85 <br /> HOME DEPOT AT HOME SERVICES MAIL-IN FEE 2.00 <br /> 2690 CUMBERLAND PKWY Sl11TE 30 <br /> ATLANTA, GA 30339- TOTAL 10710 <br /> Minnesota State License#: E3UIL-20268257 Payment(s) <br /> CHECK 68473 107.10 <br /> OWNF,R <br /> BJORK, KEVIN & LORI <br /> 4650 CREEKWOOD TR <br /> MAPLE PLA[N, MN 55359 <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 'I�his permit is for onl��the�vork described and does <br /> not erant permission for additional or related work which requires separatc <br /> permits. AII provisions of laws and ordinances governing this typo of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> espire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or it�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 are <br /> requested in conformance with the State E3uilding Code."fhis perniit may be <br /> revoked at any timc for due causc. <br /> / / <br /> Applicant Permitee Signaturc Date Issued E3y Signature Datc <br />