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� CITY OF ORONO * 2 0 1 5 - 0 1 5 9 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/29/2015 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1180 PHILLIPS DR <br /> PIN : 27-118-23-32-0008 <br /> LEGAL DESC : PHILLIPS WOODLAND TERRACE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 27,653.00 <br /> NOTE: REPLACE ]0 WINDOWS INTO EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 467.54 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 13.83 <br /> 15300 25TH AVE N. -SUITE# 100 MAIL-IN FEE 2.00 <br /> PLYMOUTH, MN 55447- TOTAL 483.37 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License#: BUIL-BC645090 CREDIT CARD 0182 483.37 <br /> OWNER <br /> MCLAUGHLIN, WENDY <br /> 1180 PHILLIPS DR <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 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> `�- D -� � � i�g i/S <br /> Applican -ermitee Signature Date Issued B ignature Date <br />