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r� <br /> � <br /> ' CITY OF ORONO * z 0 1 7 - 0 1 � s 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/22/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3180 RIDGEWOOD CIR <br /> PIN : 04-117-23-23-0021 <br /> LEGAL DESC : ROUTSON ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 3,000.00 <br /> NOTE: REPLACE FRONT DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> STATE SURCHARGE(VALUATION) 1.50 <br /> DERCON CONSTRUCTION SERVICES INC. MAIL-IN FEE 2.00 <br /> 727 170TH LANE NW TOTAL 96.39 <br /> ANDOVER,MN 55304- <br /> (612)276-6006 Payment(s) <br /> Minnesota State License#: BUIL-BC51296 CREDIT CARD 0961 9639 <br /> OWNER <br /> WILSON,LEIF&JENNIFER <br /> 3180 RIDGEWOOD CIR <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORIv STATEMEIVT <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 wi[h 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 afrer 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 /> . <br /> � 1`-r ! Y�"�` l` � <br /> Applicant Permitee Signature Date Issued B ignature Date <br />