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� CITY OF ORONO * z 0 1 7 — 0 0 3 � 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/10/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 110 LEAF ST <br /> PIN : 04-117-23-22-0005 <br /> LEGAL DESC : REG. LAND SURVEY NO.0744 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACT[VITY : O/S BUILDING-iJNDEFINED <br /> VALUATiON : $ 3,000.00 <br /> NO"rE: REPLACF,3 WINDOWS IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> STATE SURCHARGE(VALUATION) 1.50 <br /> CONTRACTORS INC TOTAL 94.39 <br /> 2160 W WAYZATA BLVD#6 <br /> LONG LAKE,MN 55356- Payment(s) <br /> (763)213-2850 CHECK 5686 9439 <br /> Minnesota State License#: BUIL-BC639265 <br /> OWNER <br /> GRONBERG,MR.& MRS. MARK <br /> 1 10 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 Ciry 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 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 all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for du e. <br /> /) , � � �%'i <br /> // �� � C`;�� ���_c / :�r� -/�` -�_ �f i %���� i � �-� <br /> Applica ermit e Signature ate [ssued By Signature Date <br />