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CITY OF ORONO * z 0 1 s - 0 0 7�� <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 06/30/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4640 NORTH ARM DR W <br /> PIN : 06-117-23-23-0005 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTTON TYPE . WI�IDOWS <br /> r;��i � v :•t �� CI`� �,J �� �t'�4�1 <br /> VALUATION : $ 44,00�00 <br /> NOTE: WINDOWS,SIDING&ROOF- 1 WINDOW REBUILDING OUT FRAME <br /> APPLICANT PERMIT FEE SCHEDULE 648.18 <br /> STATE SURCHARGE(VALUATION) 22.00 <br /> A.M. BURNEY EXTERIORS, INC. TOTAL 670.18 <br /> 21704 AHLSTROM AVE <br /> ROGERS, MN 55374- Payment(s) <br /> CREDIT CARD 4638 670.18 <br /> (952)836-8938 <br /> Minnesota State License#: BUIL-BC635734 <br /> OWNER <br /> NERSON,DANIEL&LINDA <br /> 4640 NORTH ARM DR W <br /> MOLIND, 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 City approvals,and [he <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 per' of 180 day t any time afrer work has commenced. <br /> The ap is spo sible for ring all required inspectigxs are <br /> req ted in fo ` e w' State Building Code.T s permit may be <br /> re ked at a timef� r du se. }�� � <br /> � � P <br /> � � r3o -l� � ��,�,� �,.��._i ��. �„ ;���� � � b <br /> Appl ca mitee Signature Date Issued By Signature Date <br />