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CITY OF ORONO ��� '� <br /> 2750 KELLEY PARKWAY * 2 0 1 4 - 0 1 2 4 4 * <br /> � DATE ISSUED: 10/24/2014 <br /> ORONO,MN 55356- <br /> 952) 249-4600 FAX: 952) 249-4616 � <br /> ADDRESS : 3680 LIVINGSTON AVE <br /> PIN : 17-117-23-34-0032 <br /> LEGAL DESC : NAVARRO <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,000.00 <br /> NOTE: REPLACE(3)WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 73.75 <br /> STATE SURCHARGE(VALUATION) I.00 <br /> TOM LATCHAM CUSTOM HOMES TOTAL 74.75 <br /> 4711 ISLAND VIEW DRIVE Payment(s) <br /> MOiJND,MN 55364- <br /> (952)454-6449 CREDIT CARD 0622 74.75 <br /> Minnesota State License#: BUIL-BC686061 <br /> OWNER <br /> MOUM,CHERYL <br /> 3680 LIVINGSTON AVE <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 /> 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 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 /> revoked at any time for due cause. <br /> G-� ��!�c� /l3 id�il"� <br /> Applicant Permitee Signature Date Issue y Signature Date <br />