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CITYOFORONO * 2014 - 0P1750 * <br /> t 2750 KELLEY PARKWAY pATE [SSUE�: 07/15/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 345 FERNDALE RD N <br /> PIN : 36-118-23-41-0028 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 023 BLOCK 001 <br /> PERMIT TYPE : MINOR AL'I�ERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 8,353.00 <br /> NOTP,: RF.PI,nC}�: 3 Pn"I'IO DOORS WI"I�HI'� f�:XIS"I�ING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULF 177.00 <br /> STATE SURCHARGE(VALUATION) 4.18 <br /> RENEWAL BY ANDERSON MAIL-IN FEE 2.00 <br /> 1920 COUNTY RD C. WEST TOTAL 183.18 <br /> ROSEVILLE, MN SS l 13 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#: BU[L-BC130983 CREDIT CARD 8788 183.18 <br /> OWNER <br /> WILLIAMS,JAMES &JUDITH <br /> 345 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pennit 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���ork which requires separate <br /> permits. nll 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 construction 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 at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance witl�the State I�uilding Code."Chis permit may be <br /> revoked at any time for duc cause. <br /> �� / / <br /> npplicant Permitee Signature Date Issued 13y i nature Date <br />