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CITYOFORONO * Z015 - 00599 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/14/2015 <br /> � ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 345 LEAF ST <br /> PIN : OS-117-23-14-0003 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.203 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 11,000.00 <br /> NOTE: REPLACEMENT OF 2 PATIO DOORS <br /> APPLICANT PERMIT FEE SCHEDULE 216.85 <br /> STATE SURCHARGE(VALUATION) 5.50 <br /> HOME CHECK PLUS MAIL-IN FEE 2.00 <br /> 120 OSSEO AVE N <br /> ST CLOUD,MN 56303- TOTAL 224.35 <br /> (320)529-4800 Payment(s) <br /> Minnesota State License#: BUIL-26133-2 CREDIT CARD 7883 22435 <br /> OWNER <br /> AMPLATZ,CAROLINE <br /> 345 LEAF 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 dces <br /> not gant pertnission for additional or related work which requires separate <br /> permits. All provisions of Iaws 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of I80 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 Sta[e Building Code.This permit may be � <br /> revoked at any time for due cause. <br /> ��� �, 1 Y� �s <br /> Applicant Permitee Signature Date Issued By Signature Date <br />