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CITY OF ORONO 1111111111111111111111111111111111111111111111111 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 55 WEAR LA N <br /> PIN : 33-118-23-34-0006 <br /> LEGAL DESC : ROLLING MEADOWS 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 7,938.00 <br /> NOTE: REPLACE(2)PATIO DOORS WITHIN EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 170.34 <br /> STATE SURCHARGE(VALUATION) 3.97 <br /> RENEWAL BY ANDERSON MAIL-IN FEE 2.00 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE,MN 55113 TOTAL 176.31 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#:BUIL-BC130983 CREDIT CARD 8788 176.31 <br /> OWNER <br /> KELDERMAN,MICHAEL&JUDITH J <br /> 55 WEAR LA N <br /> LONG LAKE,MN 55356- <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. ` <br /> (1444/ <br /> � <br /> a�- rPo ,� () 9 /C5/ /7 <br /> Applicant Permitee Signature Date Issued r Signature Date <br />