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CITY OF ORONO * Z 0 1 4 - 0 0 5 1 0 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OS/30/2014 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2560 DUNWOODY AVE <br /> PIN : 20-117-23-21-0023 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 004 BLOCK 007 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 2,050.00 <br /> NOTE: REPLACE PATIO DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> STATE SURCHARGE(VALUATION) 1.02 <br /> WINDOW WORLD MISC FEE 0.00 <br /> 221 l 11TH AVE. E. <br /> #130 MAIL-IN FEE 2.00 <br /> ST PAUL,MN 55109- TOTAL 91.52 <br /> (65l)770-5570 Payment(s) <br /> Minnesota State License#: BUIL-BC356847 CHECK 20730 9l.52 <br /> OWNER <br /> ESTOCLET,JILL <br /> 2560 DUNWOODY AVE <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed accordin�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 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 assurin�all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time ror due cause. <br /> �_/y,-----`-r, / / <br /> Applicant Permitee Signature Date Issued By i nature ��2�%� Date <br />