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� r � CITY OF ORONO <br /> 2 7 5 0 K E L L E Y PA R K W A Y * 2 0 1 7 — 0 1 5 6 7 * <br /> DATE ISSUED: 1 U28/2017 <br /> ORONO,MN 55356- � <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1800 SHADYWOOD RD <br /> PIN : 17-117-23-21-0026 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 021 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,990.00 <br /> NOTE: REPLACE(3)WINDOWS WIHTIN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 154.85 <br /> STATE SURCHARGE(VALUATION) 3.50 <br /> RENEWAL BY ANDERSON MAIL-IN FEE � 2.00 <br /> 1920 COUNTY RD C.WEST <br /> ROSEVILLE,MN 55113 TOTAL 160.35 <br /> (612)502-4777 Payment(s) • <br /> Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 160.35 <br /> OWNER <br /> SEABOLT,DOUGLAS <br /> 1800 SHADYWOOD RD <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 goveming 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 confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> C`i/JiL�c <br /> �� `�� Sv //i��i/7 <br /> Applicant Permitee Signature Date Issued By gnature Date <br />