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CITY OF ORONO <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 8 - 0 0 3 7 <br /> DATE ISSUED: 03/29/22 018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1890 CONCORDIA ST <br /> PIN : 17-117-23-23-0022 <br /> LEGAL DESC : MAPLEGATE INLET <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> VALUATION : $ 6,500.00 <br /> NOTE: REPLACE EXISTING WINDOWS,USING SAME SIZE(10) <br /> APPLICANT PERMIT FEE SCHEDULE 154.85 <br /> STATE SURCHARGE(VALUATION) 3.25 <br /> BETZ BUILDERS INC. <br /> 300 CRESTVIEW AVE. TOTAL 158.10 <br /> LONG LAKE,MN 55356 Payment(s) <br /> (612)221-2963 CHECK 20324 158.10 <br /> Minnesota State License#:BUIL-BC3515 <br /> OWNER <br /> KROLL,CHARLES <br /> 1890 CONCORDIA ST <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 /> e9(46(4 3 21 IT <br /> Applicant Permitee Signature Date Issued By Stg)ure Date <br />