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• ! <br /> CITY OF ORONO * z 0 1 2 - 0 1 2 5 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/17/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 980 FERNDALE RD W <br /> PIN : 02-117-23-44-0019 <br /> LEGAL DESC : COUNTRY CLUB ESTATES <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDINC - UNDEFINED <br /> VALUATION : $ 9,973.00 <br /> NOTE: REPLACG(11)WINDOWS IN"TO[?XISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> APEX ENERGY SOLUT[ONS STATE SURCHARGE(VALUATION) 4.99 <br /> 8400 NORMANDALE LAKE BLVD#920 <br /> BLOOMINGTON, MN 55431- MAIL-IN FEE 2.00 <br /> (651)688-2739 TOTAL 198.74 <br /> PAID WITH CC# 5542 <br /> OWNER <br /> SAFAR,JACK& PAMELA <br /> 980 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORN STATEMENT <br /> l�he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or rclated 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 speciticd herein.'fhis 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 afler work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confomiance with the State Building Code.This permit may be <br /> revoked at any time for due cau e. <br /> ^ � � � � / �� / � � <br /> App ' ant Permitee Sig ature Date Issu [3y ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />