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CITY OF ORONO 1111 111111 II 11 .1111 II i i II <br /> 204 - 00406 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1110 WILLOW DR S <br /> PIN : 10-117-23-24-0011 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 4,520.00 <br /> NOTE: REPLACE 8 WINDOWS WITHIN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> STATE SURCHARGE(VALUATION) 2.26 <br /> THE HOME DEPOT A.H.S. MAIL-IN FEE 2.00 <br /> 2690 CUMBERLAND PKWY, STE 300 TOTAL 122.26 <br /> 30339- <br /> (763)542-8826 Payment(s) <br /> Minnesota State License#: BUIL-20268257 CHECK 67989 122.26 <br /> OWNER <br /> GLASER,ROBB <br /> 1110 WILLOW DR S <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 he <br /> revoked at any time for due carie. <br /> ' / do, a. <br /> Applicant Permitee Signature Date Issued By 'ti ature Date <br />