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CITY OF ORONO * z 0 1 5 - PJ 1 6 0 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/30/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4040 DAHL RD <br /> PIN : 07-117-23-11-0021 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 017 _�001 � <br /> PERMIT TYPE : ADDITION DEL/$��R �`� <br /> \,_i`,�", <br /> PROPERTY TYPE . RESIDENTIAL , ,;;.-- <br /> , ,� �� _��.; <br /> CONSTRUCTION TYPE : ADDN/�ODELI�IR c��c._ _, <br /> ACTIVITY : 434-R��NTIAL <br /> VALUATIOI�I : $ 17,500.00 <br /> NOTE: REMOVE AND REPLACE(8)WINDOWS IN HOUSE AND GARAGE. SEE ATTACHED PHOTO. <br /> APPLICANT PERMIT FEE SCHEDULE 325.24 <br /> STATE SURCHARGE(VALUATION) 8.75 <br /> HAMEL BUILDING CENTER TOTAL 333.99 <br /> 18710 HIGHWAY 55 Payment(s) <br /> PLYMOUTH, MN 55446- CHECK 42522 333.99 <br /> (763)478-6601 <br /> Minnesota State License#: BUIL-20631040 <br /> OWNER <br /> LEPPLA, MR&MRS JOHN <br /> 4040 DAHL RD <br /> MOLJND,MN 55364 <br /> AGREEMENT AIYD SWORN STATEMENT <br /> The work for which Ihis 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 separate <br /> permits. All provisions of laws and ordinances governing this rype of work <br /> shall be compied with whether or not speci6ed 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �-� � , ��� <br /> Applicant Permitee Signature Date Is Signature Date <br />