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� <br /> r • CITY OF ORONO PERMIT NO.: 20�o-oo4ss <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1650 SHADYWOOD RD <br /> PIN : 17-117-23-21-0014 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> VALUATION : $ 12,763.00 <br /> NOTE: REPLACE 3 WINDOWS AND 2 PATIO DOORS WITHIN EXISTING OPENINGS <br /> APPLICANT pERMIT FEE SCHEDULE 236.00 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 638 <br /> 1920 COLJNTY RD C.WEST <br /> ROSEVILLE,MN 55113 MAIL-IN FEE 2.00 <br /> (612)502-4777 TOTAL 244.38 <br /> Minnesota State License#:20130983 <br /> OWNER <br /> KREISLER,JERROLD&BARBARA <br /> 1650 SHADYWOOD RD <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. 1'his 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 rype of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if conswction authorized is not <br /> commenced within 180 days of the date of issuance,or if consuuction 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due ca�ise. <br /> ��1�,�'c.� (''L l i �CG�Yt i i <br /> Applicant Permitee Signature Date Issued By gnature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />