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�i. <br /> CITY OF ORONO * 2 0 1 3 - 0 0 1 9 7 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 375 FERNDALE RD N <br /> PIN : 36-118-23-41-0003 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 15,105.00 <br /> NOTE: REPLACE(14)WINDOWS WITHIN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 280.25 <br /> HOME DEPOT AT HOME SERVICES STATE SURCHARGE(VALUATION) 7.55 <br /> 2690 CUMBERLAND PKWY SUITE 30 <br /> ATLANTA, GA 30339- MAIL-IN FEE 2.00 <br /> Minnesota State License#: 20268257 TOTAL 289.80 <br /> OWNER <br /> CARLSON, MATTHEW& KALEENA <br /> 375 FERNDALE RD N <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 7'he 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 describcd 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 /> shali be compied wi[h 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 da[e 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 conf'ormance with the State Building Code.This permit may be <br /> revoked at any time Y'or due cau§e. <br /> �,�_ , _ 0 ✓►�1.� / / l l <br /> 'VI.G'��- <br /> Applicant Permitee Signature Date Issued By Si ture D <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />