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1 ,. CITY OF ORONO * z 0 1 7 - 0 1 z 4 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/02/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 880 PARTENWOOD RD <br /> PIN : OS-117-23-43-0001 <br /> LEGAL DESC : PARTENWOOD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LTNDEFINED <br /> VALUATION : $ 22,000.00 <br /> NOTE: 28 SASH AND FULL WINDOW REPLACEMENTS <br /> APPLICANT PERMIT FEE SCHEDULE 387.20 <br /> PCS RESIDENTIAL STATE SURCHARGE(VALUATION) 11.00 <br /> 2005 PIN OAK DRIVE MAIL-IN FEE 2.00 <br /> EAGAN,MN 55122- TOTAL 400.20 <br /> Minnesota State License#: BUIL-BC593158 Payment(s) <br /> CREDIT CARD 8984 400.20 <br /> OWNER <br /> GRAY,JERRY&CYNTHIA <br /> 880 PARTENWOOD RD <br /> LONG LAKE,MN 55356- <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 l80 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 /> C % � C�' -(' �� �� i �J�i � � <br /> Applicant Permitee Signatur� Date Iss�ed y Signature Date <br />