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CITY OF ORONO * 2 0 1 7 - 0 0 3 9 8 * <br /> , , 2750 KELLEY PARKWAY DATE ISSUED: 04/20/2017 <br /> � ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 825 FOREST ARMS LA <br /> PIIV : 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-LJNDEFINED <br /> VALUATION : $ 10,000.00 <br /> NOTE: REPLACE(1)WINDOWS INTO EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 20132 <br /> STATE SURCHARGE(VALUATION) 5.00 <br /> NIEMELA CONSTRUCTION INC. <br /> 5765 QUAM AVE NE TOTAL 206.32 <br /> OTSEGO,MN 55330- Payment(s) <br /> (612)532-7956 CREDIT CARD 7996 20632 <br /> Minnesota State License#: BUIL-BC602194 <br /> OWNER <br /> BRANDENBURG,NATHAN&BETH <br /> 825 FOREST ARMS LA <br /> MOiJND,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 Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additionai 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 witl <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 /> 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 /> � d � -� � iZo�/ <br /> App�c Pe Date Issued B ignature Date <br />