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CITY OF ORONO * 2 0 1 6 — 0 1 1 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/14/2016 <br /> ' ORONO,MN 55356- <br /> ' (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1390 PARK DR <br /> PIN : 07-117-23-41-0072 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 013 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 4,552.00 <br /> NOTE: REPLACE WINDOW IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 123.87 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 2.28 <br /> 15300 25TH AVE N.-SUITE# 100 M�►IL-IN FEE 2.00 <br /> PLYMOUTH,MN 55447- TOTAL 128.15 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License#:BUIL-BC645090 CREDIT CARD 0182 128.15 <br /> OWNER <br /> HOLMES,WAYNE M <br /> 1390 PARK DR <br /> MOLJND,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 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.This permit will <br /> expire and become null and void if construction suthorized 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cawse. !� <br /> !� <br /> 1 / 1C�r 1 c��(-{ 2c�� �.�e`f--�t� � l�i /� <br /> Applicant Permitee Signature ` Date Issued By Signature Date <br />