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♦ _ -, CITY OF ORONO * 2 0 1 6 - 0 0 9 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/09/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1760 SHADYWOOD RD <br /> PIN : 17-117-23-21-0022 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 017 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 7,838.00 <br /> NOTE: WINDOW REPLACEMENT <br /> APPLICANT PERMIT FEE SCHEDULE 170.34 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 3.92 <br /> 10751 EXCELSIOR BLVD MAIL-IN FEE 2.00 <br /> HOPKINS,MN 55343 TOTAL 176.26 <br /> (952)277-1600 Payment(s) <br /> Minnesota State License#: BUIL-BC239369 CREDIT CARD 3281 176.26 <br /> OWNER <br /> EISS,DAVID&HOLLY <br /> 1760 SHADYWOOD RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT A1vD SWORN STATEMENT <br /> The work for which this pem►it 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 /> 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 1 SO days of the date of issuance,or if construction is <br /> suspended for a period of I80 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 /> , - �' � g � �� <br /> Applicant Permitee Signature Date Issued ignature Date <br />