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CITY OF ORONO * Z 0 1 5 - 0 1 5 1 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 12/07/2015 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3443 CRYSTAL PL <br /> PIN : 17-117-23-43-0005 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 5,167.00 <br /> NOTE: REPLACE(6)WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 139.36 <br /> STATE SURCHARGE(VALUATION) 2.58 <br /> THE HOME DEPOT A.H.S. TOTAL 141.94 <br /> 2690 CUMBERLAND PKWY, STE 300 <br /> ATLANTA,GA 30339- Payment(s) <br /> (763)542-8826 CHECK 73204 141.94 <br /> Minnesota State License#: BUIL-CR268257 <br /> OWNER <br /> ZIMMERMAN,MATTHEW& LOR[ <br /> 3443 CRYSTAL PL <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separa[e <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether 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 with[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> � ) _ ��I�-� <br /> , C+ �-�,"�� ����i�� �� ��--J :L i -� i l � !_.; <br /> Applicant Permitee Signatu e �� Date Issued By Signature Date <br />