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, � <br /> CITY OF ORONO * 2 0 1 4 - 0 0 Z 6 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/04/2014 <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 : WINDOWS <br /> ACTTVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 12,812.00 <br /> NOTE: REPLACE(2)WINDOWS AND(I)FRONT ENTRY DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 236.00 <br /> STATE SURCHARGE(VALUATION) 6.41 <br /> PELLA NORTHLAND MAIL-IN FEE 2.00 <br /> 15300 25TH AVE N. - SUITE# ]00 <br /> PLYMOUTH, MN 55447 TOTAL 244.41 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License#: BUIL-BC645090 CHECK 67634 244.41 <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 performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and docs <br /> not�rant permission for additional or relatcd work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h 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 I SO 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 a[any time for due cause. <br /> . <br /> C �--� ����� C�-u.a_..w— �� y� �y <br /> Applieant Permitee Signature �te Iss d By Signature Date <br />