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III1II1111 11011111111 II <br /> CITY OF ORONO * 20 1 3 - 0 1 1 82 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/06/2013 <br /> • ORONO, MN 55356- <br /> • <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4550 WOLVERTON PL <br /> PIN : 31-118-23-31-0013 <br /> LEGAL DESC : FOXFYRE ESTATES <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 57,578.00 <br /> NOTE: WINDOW/DOOR REPLACEMENTS <br /> APPLICANT PERMIT FEE SCHEDULE 741.75 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 28.79 <br /> 15300 25TH AVE N. -SUITE# 100 <br /> PLYMOUTH, MN 55447 MAIL-IN FEE 2.00 <br /> (952)345-6047 TOTAL 772.54 <br /> Minnesota State License#: BC645090 <br /> OWNER <br /> GHERARDI,RICHARD&LORI <br /> 2985 WATERTOWN ROAD <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 /> eL• <br /> Applicant Permitee Signature Date Issued By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO . <br />