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, CITY OF ORONO * 2 0 1 6 - 0 1 S 4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 65 FERNDALE GREEN <br /> PIN : 36-118-23-44-0026 <br /> LEGAL DESC : FAIRWAY HILLS ADDN <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 : $ 2,599.00 <br /> NOTE: REPLACE I WINDOW <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 1.30 <br /> 15300 25TH AVE N. -SUITE# 100 MAIL-IN FEE 2.00 <br /> PLYMOUTH, MN 55447- TOTAL 96.19 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License#: BUIL-BC645090 CREDIT CARD 0182 96.19 <br /> OWNER <br /> LAPERRE,TIMOTHY&NANCY <br /> 65 FERNDALE GREEN <br /> WAYZATA, MN 55391 <br /> AGREEMEIYT 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 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 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 /> , <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 /> , , <br /> r <br /> , , _ � � <br /> � �� '��i'� ��Z�C �� ,< �; �..�. - r �. , � /_.�. �,.� ;.�; l �!- <br /> � `���! <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />