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CITY OF ORONO 1 1 1 1 11141 IL I 1111 <br /> 2750 KELLEY PARKWAY * 2 1 7 - 0 1 4 6 <br /> DATE ISSUED: 1U13/22 017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1223 BROWN RD S <br /> PIN : 10-117-23-31-0065 <br /> LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 31,686.00 <br /> NOTE: REPLACE(18)WINDOWS WITHIN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 512.70 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 15.84 <br /> 1920 COUNTY RD C. WEST TOTAL 528.54 <br /> ROSEVILLE,MN 55113 Payment(s) <br /> (612)502-4777 CREDIT CARD 8788 528.54 <br /> Minnesota State License#:BUIL-BC130983 <br /> OWNER <br /> RATHMUSSEN,KASY <br /> 1223 BROWN RD S <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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> /e0 <br /> /k3 //7 <br /> Applicant Permitee i�ature Date Issued By ature Date <br />