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f / � <br /> CITY OF ORONO PERMIT NO.: 20 1-01562 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 0 03/2012 <br /> 952 249-4600 FAX: 952 249-4616 I <br /> ADDRESS : 3175 JAMESTOWN RD <br /> PIN : 28-118-23-33-0014 <br /> LEGAL DESC : LIBERTY ACRES 2ND ADDN ' <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 15,000.00 <br /> NOTE: REPLACE(18)WINDOWS IN EXISTING OPENINGS. <br /> APPLICANT pERMIT FEE SCHEDULE 265.50 <br /> AUBEN RESIDENTIAL STATE SURCHARGE(VALUATTON) 7.50 <br /> PO BOX 81 <br /> VICTORIA,MN 55386- TOTAL 273.00 <br /> (952)836-4332 <br /> Minnesota State License#:20G34617 <br /> OWNER <br /> RILEY,NEIL&STEPHANI� <br /> 3175 JAMESTOWN RD ' <br /> LONG LAKE,MN 55356- i <br /> AGREEMENT AND 3WORPi STATEMENT <br /> The work for which this permit is is�ued shall be performed according to <br /> the approved plans and specificationg,applicable City approvals,and the <br /> State Building Code. This permit is�'or only the work described and does <br /> not grant permission for additional related work which requires separate <br /> permits. All provisions of laws and rdinances governing this type of work <br /> shall be compied with whether or no specified herein.This permit will <br /> expire and become nuli and void if nstruction authorized is not <br /> commenced within 180 days of the of issuance,or if construction is <br /> suspended for a period of 180 days any time after work has commenced. <br /> The applicant is responsible for assu ing all required inspections are <br /> requested in conformance with the S ate Building Code.This permit may be <br /> revoked at ue ca <br /> — I <br /> ' I i 3 i � 2..- I � i l -2— <br /> Appl' ermitee Signature Date Issu By Signature Date, <br /> SEPA TE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />