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CITY OF ORONO * z 0 1 4 - 0 1 1 7 B * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2014 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3080 NORTH SHORE DR <br /> PI� : 09-117-23-32-0019 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1457 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : M[NOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BU[LDING-UNDEFINED <br /> VALUATION : $ 2,617.00 <br /> NOTE: REPLACE 1 WINDOW INTO EXISTING OPENING <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> MINNESOTA RUSCO, INC. STATE SURCHARGE(VALUATION) 1.3� <br /> 5558 SMETANA DRNE MAIL-IN FEE 2.00 <br /> MINNETONKA,MN 55343- TOTAL 91.81 <br /> (952)935-9669 Payment(s) <br /> Minnesota State License#: BUIL-2173 CREDIT CARD 7460 91.81 <br /> OWNER <br /> REARDON,LAURIE&JANET <br /> 3080 NORTH SHORE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shali 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 pertnit 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> . /,�'"' <br /> � ( e,dl ���� � � <br /> Applicant Permitee Signature Date Issued By Signa re Date <br />