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, CITY OF ORONO * z 0 1 4 - 0 0 1 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/27/2014 <br /> • ORONO, MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2745 KELLY AVE <br /> PIN : 21-117-23-23-0028 <br /> LEGAL DESC : REG. LAND SURVEY NO.0891 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 11,063.00 <br /> NOTE: REPLACE 1 WINDOW, 1 STORM DOOR, 1 ENTRY DOOR& 1 PATIO DOOR WITHIN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 5.53 <br /> 1920 COLJNTY RD C. WEST MAIL-IN FEE 2.00 <br /> ROSEVILLE,MN 55113 TOTAL 228.78 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#: BUIL-BC 130983 CREDIT CARD 8788 228.78 <br /> OWNER <br /> WOOD,JAY&BARBARA <br /> 2745 KELLY AVE <br /> EXCELSIOR,MN 55331 <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 /> pertnits. 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 /> i <br /> `i�� / / <br /> Applicant Permitee Signature Date Issued B gnature ,,a�� Date <br /> / O ` <br />