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CITY OF ORONO iiiiiiiiiiiiiiiiiiiiiimiiiiiiiiiiiiiiiiiiiiililI <br /> 2750 KELLEY PARKWAY * 2 1 3 - P1 2 7 5 <br /> DATE <br /> E ISSUED:: 12/11/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS 4495 NORTH SHORE DR <br /> PIN 07-117-23-31-0005 <br /> LEGAL DESC BERGQUISTS ADDN TO SAGA HILL <br /> LOT 007 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WINDOWS <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 47,754.00 <br /> NOTE: 14 WINDOWS AND 4 PATIO DOOR REPLACEMENTS <br /> APPLICANT PERMIT FEE SCHEDULE 660.25 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 23.88 <br /> 15300 25TH AVE N.-SUITE# 100 MAIL-IN FEE 2.00 <br /> PLYMOUTH,MN 55447 TOTAL 686.13 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License#: BUIL-BC645090 CHECK 66998 686.13 <br /> OWNER <br /> RYAN,MIKE <br /> 4495 NORTH SHORE DR <br /> MOUND,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 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 /> Applicant Permitee Signature Date Issued By S' ature Date <br />