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CITY OF ORONO * Z 0 1 4 - 0 0 6 3 1 * <br /> � � 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2308 SHADYWOOD RD <br /> PIN : 17-117-23-44-0106 <br /> LEGAL DESC : WILEYS NAVARRE ADDN LAKE MTKA <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,741.00 <br /> NOTE: REPLACE(3)WNDOWS 1NT0 EXIST[NG OPENINGS <br /> APPLICAIVT PERMIT FEE SCHEDULE 88.50 <br /> STATE SURCHARGE(VALUATION) 1.37 <br /> THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 <br /> 2690 CUMBERLAND PKWY, STE 300 TOTAL 91.87 <br /> 30339- <br /> (763)542-8826 Payment(s) <br /> Minnesota State License#: BUIL-20268257 CHECK 68421 91.87 <br /> OWNER <br /> HENDERSON, PHYLLIS <br /> P.O. SHADYWOOD RD <br /> ,MN 55391- <br /> AGREEMENT AIYD SWORN STATEMENT <br /> The work for which this pertnit is issued shall be perfornied according to <br /> the approved plans and specifications,applicable Ciry 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 wi[h whether or no[specified herein.This permit will <br /> expire and become null and void if constniction authorized is not <br /> cornmenced within I 80 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 /> reyuested in confurmance wilh the Slate Building Code.This permil may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />