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CITY OF ORONO * 2 0 1 S - 0 1 4 1 1 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 1UO3/2015 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 85 FERNDALE GREEN <br /> PIN : 36-118-23-44-0024 <br /> LEGAL DESC : ALLO-RAE TERRACE <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CO1vSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,196.00 <br /> NOTE: REMOVE AND REPLACE 2 WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 92.93 <br /> STATE SURCHARGE(VALUATION) 1.10 <br /> SELA ROOFING&REMODELING, INC. TOTAL 94.03 <br /> 4100 EXCESIOR BLVD <br /> ST. LOUIS PARK, MN 55416- Payment(s) <br /> (952)915-7227 CHECK 36467 94.03 <br /> Minnesota State License#: BUIL-BC1050 <br /> OWNER <br /> POWERS,JOHN&ROXANNE <br /> 85 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 sepazate <br /> permits. All provisions of laws and ordinances governing this type ofwork <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 wnstruction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsib(e for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. , .� ` �,� <br /> f�/ � ��`�\�� � ��-�f�� �' � � � � r� <br /> plicant Permitee Signature Date Issued By Signature Date <br />