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� r•„ <br /> CITY OF ORONO * 2 0 1 7 — 0 1 0 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/OS/2017 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 765 SPRING HILL RD <br /> PIN : 36-118-23-22-0002 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LTNDEFINED <br /> VALUATION : $ 155,000.00 <br /> NOTE: 33 WINDOWS AND 4 PATIO DOOR REPLACEMENTS <br /> APPLICANT PERMIT FEE SCHEDULE 1,456.42 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 77.50 <br /> 15300 25TH AVE N.-SUITE# 100 TOTAL 1,533.92 <br /> PLYMOUTH,MN 55447- Payment(s) <br /> (952)345-6047 CHECK '78818 1,533.92 <br /> Minnesota State License#:BUIL-BC645090 <br /> OWNER <br /> WINSTON,FREDERICK&ELANOR ' <br /> 765 SPRING HILL RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pern►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 Iaws 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 /> 1 `� <br /> C, 7-�, 9 , � ,/ � <br /> Applicant Permitee Signature Date Issued B Signature Date <br />