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� � <br /> CITY OF ORONO * Z 0 1 4 - PJ 1 4 1 9 * <br /> 2750 KF.LLEY PARKWAY DATE ISSUED: 12/1U2014 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 25 BROWN RD S <br /> PIN : 03-117-23-21-0001 <br /> LEGAL DESC : UNPLATTED 03 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDQWS <br /> � � <br /> VALUATION :C�� 20,645.0� <br /> NO'I�E: (4)WINDOWS AND(l)ENTRY DOOR RF,PLnCEMEN'I� <br /> APPLICANT PERMIT FEE SCHEDULE 354.00 <br /> STATE SURCHARGE(VALUATION) ]0.31 <br /> PELLA NORTHLAND MAIL-IN FEE 2.00 <br /> 15300 25TH AVE N. - SU[TE# 100 <br /> PLYMOUTH, MN 55447 TOTAL 366.31 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License�#: BUIL-BC645090 CHECK 69943 366.31 <br /> OWNER <br /> OTTO;MICHAEL <br /> 25 BROWN RD S <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and Ihe <br /> Statc E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wilh whether or not specified hercin.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 /> "I'he applicant is responsible for assuring all required inspections are <br /> rcqucsted in confom�ance with thc State Building Code.This permit may bc <br /> revoked at any time for due cause. <br /> � <br /> • � 1 <br /> `'y�iL�=c-�� / ll � 2___ � i l i / � <br /> Applicant Pennitee Signatur Date Iss By Signature Date <br />