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CITY OF ORONO * z 0 1 7 - 0 0 3 9 9 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 04/20/2017 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1065 FERNDALE RD W <br /> PIN : 02-117-23-43-0021 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1372 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 26,158.00 <br /> NOTE: REPLACE 7 WINDOVI'S&2 ENTRY DOORS IN EXISTING WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 456.25 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 13.08 <br /> 1920 COUNTY RD C. WEST MAIL-IN FEE 2.00 <br /> ROSEVILLE, MN 55113 TOTAL 471.33 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 471.33 <br /> OWIYER <br /> DETOR, ELIZABETH&LUCAS <br /> 1065 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 /> S[ate 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 I 80 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 aIl 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 /> � o ' c�< , �:� E._, /�-; � �;� /:f�� � .,�c �� 1 <br /> }-' '�_ i ( l' L��1� � / �� � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />