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CITY OF ORONO * Z pJ 1 5 - 0 0 7 6 7 * <br /> . � 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2015 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 345 LEAF ST <br /> P[N : 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 : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 1,000.00 <br /> NOTE: 5 WINDOWS IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 43.30 <br /> MATTSON SCHOSTER LLC STATE SURCHARGE(VALUATION) 0.50 <br /> 332 2ND STREET TOTAL 43.80 <br /> EXCELSIOR,MN 55331- Payment(s) <br /> (612)751-0488 CHECK 7937 43.80 <br /> Minnesota State License#: BUIL-BC663107 <br /> OWNER <br /> AMPLATZ,CAROL[NE <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 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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke t iy ti or e cause. <br /> � J � / / <br /> Applicant Permi ee Signature Date Issued By Signature Date <br />