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� CITY OF ORONO * 2 0 1 6 - 0 1 1 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/23/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 630 DEBORAH DR <br /> PIN : 31-118-23-22-0008 <br /> LEGAL DESC : MCCULLEY FARM <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,610.00 <br /> NOTE: REPLACING 4 WINDOWS WITHIN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 201.32 <br /> STATE SURCHARGE(VALUATION) 4.81 <br /> RENEWAL BY ANDERSON MAIL-[N FEE 2.00 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 55113 TOTAL 208.13 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 208.13 <br /> OWNER <br /> KEILEN,MICHAEL&SARA <br /> 630 DEBORAH DR <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AIYD 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 /> 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 /> 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 l80 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 Yor assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be ,� ' <br /> /. � <br /> revoked at any time for due cause. � <br /> � � <br /> �� ' �� � ? /'-� c w f S�` � :� <br /> �� ��� ��� � 1 � �� <br /> Applicant Permitee S gnatur Date Issued By Signature Date <br />