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� - , CITY OF ORONO * Z 0 1 6 — 0 0 7 0 6 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 06/2U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4460 NORTH SHORE DR <br /> PIN : 07-117-23-31-0039 <br /> LEGAL DESC : BERGQUISTS 2ND ADDN TO SAGA HI <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,238.00 <br /> NOTE: WINDOW REPLACEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 185.83 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 4.12 <br /> 15300 25TH AVE N. -SUITE# 100 MAIL-IN FEE 2.00 <br /> PLYMOUTH,MN 55447- TOTAL 191.95 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License#: BUIL-BC645090 CHECK 74931 191.95 <br /> OWNER <br /> LOMA,JOSEPH&LISA <br /> 4460 NORTH SHORE DR <br /> MOLIND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> for which this permit is issued shall be performed according to <br /> i plans and specifications,applicable City approvals,and the <br /> Code. This pemiit is for only the work described and does <br /> ssion for additional or related work which requires separate <br /> visions of laws and ordinances governing this type of work <br /> with whether or not specified herein.This permit will <br /> :null and void if construction authorized is not <br /> 180 days of the date of issuance,or if construction is <br /> �od of 180 days at any time after work has commenced. <br /> onsible for assuring all required inspections are <br /> �nce with the State Building Code.This permit may be <br /> �due cause. <br /> �p�� � � �� � 2 � �C <br /> v l�t� �p �.� � � <br /> nature Date Issued Signature Date <br /> ` <br />