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CITY OF ORONO * z 0 1 5 - 0 0 8 4 1 * <br /> R - 2750 KELLEY PARKWAY DATE ISSUED: 07/06/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 2545 NORTH SHORE DR <br /> PIN : 09-117-23-41-0003 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,000.00 <br /> NOTE: REPLACE 1 BAY WINDOW IN EIXISTING OPENING <br /> APPLICANT PERMIT FEE SCHEDULE 77.44 <br /> STATE SURCHARGE(VALUATION) 1.00 <br /> MIKE NORTH CONSTRUCTION TOTAL 78.44 <br /> 800 NORTH BROWN RD Payment(s) <br /> LONG LAKE, MN 55356- CHECK 2097 78.44 <br /> (612)246-0027 <br /> Minnesota State License#: BUIL-20636890 <br /> OWNER <br /> VANORDEN,ABIGA[L <br /> 2545 NORTH SHORE DR <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 sepazate <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 alI required inspections aze <br /> requested in conformance with the S[ate Building Code.This permit may be '�;; � <br /> revoked at_ y time r�ue cause. <br /> `/ <br /> ��� f � '�� � - r� ��� � � M��--� �+�� -1, �� , J �� <br /> ; �� � � <br /> Applicant Permitee ignature Date Issued By Signature Date <br />