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CITY OF ORONO * z 0 1 5 - 0 0 4 1 7 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 04/13/2015 <br /> 1, � ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS � : 825 FOREST ARMS LA <br /> PIN : 07-117-23-12-0011 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: REPLACING 6 WINDOWS IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 170.38 <br /> STATE SURCHARGE(VALUATION) 4.00 <br /> NIEMELA CONSTRUCT[ON INC. TOTAL 174.38 <br /> 15170 87TH ST NE Payment(s) <br /> OTSEGO, MN 55330- CREDIT CARD 9522 174.38 <br /> (763)428-4484 <br /> Minnesota State License#: BUIL-BC602194 <br /> OWNER <br /> BRANDENBURG,NATHAN& BETH <br /> 825 FOREST ARMS LA <br /> MOUND, MN 55364- <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 /> no[grant permission for additional or related 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 specified herein.This permit will <br /> expire and become null and void if construc[ion 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 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. �l <br /> /" <br /> � �S- <br /> `�,�� _;� ' � � v ' 'll����� � � � ` i <br /> App�icant Permitee Signature Date Issued By S gnature Date <br />