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CITY OF ORONO * 2 0 1 5 — 0 1 1 2 1 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/02/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDI2ESS : 65 FERNDALE GREEN <br /> PIN : 36-118-23-44-0026 <br /> LEGAL DESC : FAIRWAY HILLS ADDN <br /> : LOT 001 BLOCK OOl <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BU[LDING-UNDEFINED <br /> VALUATIOI�I : $ 11,750.00 <br /> NOTE: 2 PATIO DOOR REPLACEMENTS [N EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 232.34 <br /> STATE SURCHARGE(VALUATION) 5.88 <br /> PELLA NORTHLAND MA[L-IN FEE 2.00 <br /> 15300 25TH AVE N.- SUITE# 100 <br /> PLYMOUTH,MN 55447- TOTAL 240.22 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License#: BUIL-BC645090 CREDIT CARD 0182 240.22 <br /> OWNER <br /> LAPERRE,TIMOTHY&NANCY <br /> 65 FERNDALE GREEN <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 separate <br /> permits. All provisions of laws and ordinances governing 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 construc[ion authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days a[any time after 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 /> ,� ) r, <br /> � ����C'�� lk� ��� �i�f C�C�sZ,� C��c c ���t � � , �' , I� <br /> Applicant Permitee Signature Date Issued By Signatur�= Date <br />