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CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 — 0 1 5 3 <br /> DATE ISSUED: 12/06/22 017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 3065 WATERTOWN RD <br /> PIN 04-117-23-22-0033 <br /> LEGAL DESC WALNUT CREEK <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 11,000.00 <br /> NOTE: 2 PATIO DOOR REPLACEMENTS IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 216.81 <br /> PELLA NORTHLAND <br /> STATE SURCHARGE(VALUATION) 5.50 15300 25TH AVE N.-SUITE# 100 <br /> PLYMOUTH,MN 55447- Payment(s) TOTAL 222.31 <br /> (952)345-6047 CHECK 79301 222.31 <br /> Minnesota State License#:BUIL-BC645090 <br /> OWNER <br /> DAHL,JEFFREY&LOIS <br /> 3065 WATERTOWN RD <br /> LONG LAKE,MN 55356- <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 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 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 /> C <br /> Applicant Permitee Signature Date Issued By Sig-natft Date <br />