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� �� <br /> CITY OF ORONO * 2 0 1 5 — 0 1 0 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08✓18/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2625 NORTH SHORE DR <br /> PIN : 09-117-23-42-0003 <br /> LEGAL DESC : LJNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMTT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> VALUATION : $ 2,000.00 <br /> NOTE: CHANGE OUT ONE WINDOW <br /> APPLICANT PERMIT FEE SCHEDULE 77.44 <br /> STATE SURCHARGE(VALUATION) 1.00 <br /> ANDERSON-REDA INC TOTAL 78.44 <br /> 4920 LINCOLN DRIVE Payment(s) <br /> EDINA,MN 55424 CREDIT CARD 2712 78.44 <br /> (612)308-2722 <br /> Minnesota State License#:BUIL-20229198 <br /> OWNER <br /> MEHBOD,AMIR&ASHLEY <br /> 2625 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 dces <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.l'his perrt►it 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 /> 'fhe applic nsible for assuring all required inspections aze <br /> reque d' conform with the State Building Code.This permit may be <br /> rev e any time fo e cause. � <br /> �" '1� l� C� g l! � lv <br /> Ap ' t Permitee Signa Date ss e B Signature Date <br />