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CITY OF ORONO 11111110111311111111111 �� 111111111111 111111 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/22/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1025 WILLOW VIEW DR <br /> PIN : 28-118-23-41-0007 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 012 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL 5 ill fJ <br /> CONSTRUCTION TYPE : WINDOWS <br /> VALUATION : $ 9,546.00 <br /> NOTE: REPLACE WINDOW&PATIO DOOR IN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> STATE SURCHARGE(VALUATION) 4.77 <br /> RENEWAL BY ANDERSON MAIL-IN FEE 2.00 <br /> 1920 COUNTY RD C. WEST TOTAL 198.52 <br /> ROSEVILLE, MN 55113 <br /> (612)502-4777 Payment(s) <br /> Minnesota State License#: BUIL-BC130983 CREDIT CARD 8788 198.52 <br /> OWNER <br /> QUILTY,MR.&MRS. <br /> 1025 WILLOW VIEW DR <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�J � 1 <br /> -14 <br /> Applicant Permitee Signature Date Issued By Signature Date <br />