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` � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * DA�TE I SUED: OS/�/0 5 * <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3895 SHORELINE DR <br /> PIN : 20-117-23-22-0004 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,600.00 <br /> NOTE: REPLACING 9 WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 185.87 <br /> STATE SURCHARGE(VALUATION) 4.30 <br /> NEW WINDOWS FOR AMERICA TOTAL 190.17 <br /> 2123 OLD HWY 8 NW Payment(s) <br /> NEW BRIGHTON,MN 55112- CHECK 25430 190.17 <br /> (651)203-0149 <br /> Minnesota State License#: BUIL-BC248265 <br /> OWNER <br /> RAUSCHENDORFER,JOE&SANDY <br /> 3895 SHORELINE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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 dces <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 consttuction authorized is not <br /> commenced within 180 days of the date of issuance,or if consuuction 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 /> . <br /> �� �; .��/� <br /> Ap�licant Permitee Signa re Date Issued B ignature Date <br /> � <br />