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` � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * z 0 1 4 - PJ 0 2 2 4 * <br /> DATE ISSUED: 03/20/2014 <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 /> : LO'I� 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 23,467.00 <br /> NOTE: WINDOW REPLACF.MLN"1 <br /> APPLICANT PERMIT FEE SCHEDULE 39825 <br /> STATE SURCHARGE(VALUATION) 1 1.73 <br /> APEX ENERGY SOLUTIONS MAIL-IN FEE 2.00 <br /> 8400 NORMANDALE LAKE BLVD#920 <br /> BLOOMINGTON, MN 55431- TOTAL 411.98 <br /> (651)688-2739 Payment(s) <br /> CRGDIT CARD 5542 411.98 <br /> OWNER <br /> SAFAR, JACK& PAMELA <br /> 980 FERNDALE RD W <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 E3uilding Code. This permit is tbr 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 goveming this type of work <br /> shall be compied with whether or not specitied herein."I�his permit will <br /> expire and become null and void it�construction authorized is not <br /> commenced within 180 days ot�the date of issuance,or if construction is <br /> suspendcd 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 with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ' � � � /� � � � 7" <br /> C � � <br /> Applicant Permitee Signature Date Issued y Signature Date <br />