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1111101 11101111111 <br /> CITY OF ORONO * 2 0 1 6 - 0 1 5 4 6 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/15/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)2494616 <br /> ADDRESS 375 WAKEFIELD RD <br /> PIN 36-118-23-31-0017 <br /> LEGAL DESC UNPLATTED 36 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,426.00 <br /> NOTE: REPLACE 3 WINDOWS IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 154.85 <br /> STATE SURCHARGE(VALUATION) 3.21 <br /> RENEWAL BY ANDERSON MAIL-IN FEE 2.00 <br /> 1920 COUNTY RD C. WEST <br /> TOTAL 160.06 <br /> ROSEVILLE,MN 55113 <br /> Payment(s) <br /> (612)502-4777 <br /> Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 160.06 <br /> OWNER <br /> WARNER,DALE&ANN <br /> 375 WAKEFIELD 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 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 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. r/, <br /> n` <br /> Applicant Permitee Signature Date Issued By ignature Date <br />