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CITY OF ORONO * Z 0 1 6 - 0 1 3 7 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2300 FOX ST <br /> p[]V : 03-117-23-32-0013 <br /> LEGAL DESC : BILL KELLEYS LAND 1 ST DIV <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 4,794.00 <br /> NOTE: WINDOW REPLACEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 123.87 <br /> STATE SURCHARGE(VALUAT[ON) 2.40 <br /> WELLINGTON WINDOWS TOTAL 126.27 <br /> 3938 MEADOWBROOK RD Payment(s) <br /> ST. LOUIS PARK,MN 55426- CHECK 23179 126.27 <br /> (952)933-6300 <br /> Minnesota State License#: BUIL-BC711363 <br /> OWNER <br /> CUNNINGTON, E&K <br /> 2300 FOX ST <br /> LONG LAKE, MN 55356 <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 /> 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 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 aRer 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 /> f <br /> ( �� �0 �Zg� l h <br /> Applicant Permitee Signature Date Issued By ignature Date <br />