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R CITY OF ORONO * Z PJ 1 6 — PJ 1 4 1 8 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/14/2016 <br /> ORONO, MN 55356- <br /> (9.52) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 245 OLD CRYSTAL BAY RD N <br /> PIN 33-118-23-31-0012 <br /> LEGAL DESC CLAIRE ADDN <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE WINDOWS <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 4,970.00 <br /> NOTE: WINDOW REPLACEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 123.87 <br /> STATE SURCHARGE(VALUATION) 2.49 <br /> PELLA NORTHLAND TOTAL 126.36 <br /> 15300 25TH AVE N.-SUITE# 100 Payment(s) <br /> PLYMOUTH,MN 55447- I CHECK 76501 126.36 <br /> (952)345-6047 <br /> Minnesota State License#:BUIL-BC645090 <br /> OWNER <br /> WELLS FARGO BANK MN N A <br /> THOMAS C ALDRICH RE0043993 <br /> 6TH&MARQUETTE MAC N9305 <br /> MINNEAPOLIS,MN 55479- <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 /> 'k ) 4 <br /> Applicant Permitee Signature Date Issued ByoSignature Date <br />