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� CITY OF ORONO * 2 0 1 5 — PJ 1 6 0 3 * <br /> � 2750 KELLEY PARKWAY pATE [ssUEn: 12/30/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4040 DAHL RD <br /> PIN : 07-117-23-1]-0021 <br /> LEGAL DESC : P[RATES COVE <br /> : LOT 017 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 17,500.00 <br /> NOTE: REMOVE AND REPLACE(8)WINDOWS IN HOUSE AND GARAGE. SEE ATTACHED PHOTO. <br /> APPLICANT PERM[T FEE SCHEDULE 325.24 <br /> STATE SURCHARGE(VALUATION) 8.75 <br /> HAMEL BUILD[NG CENTER TOTAL 333.99 <br /> 18710 HIGHWAY 55 <br /> PLYMOUTH, MN 55446- Payment(s) <br /> (763)478-6601 CHECK 42522 333.99 <br /> Minnesota State License#: BUIL-20631040 <br /> OWNER <br /> LEPPLA, MR& MRS JOHN <br /> 4040 DAHL RD <br /> MOUND, MN 55364 <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 /> permi[s. All provisions of laws and ordinances goveming this type of work <br /> shall bc compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction au[horized is not <br /> commenced within l80 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 / ��,U"x <br /> requested in conformance with the Sta[e Building Code.This permit may be �k <br /> revoked at any time for due cause. <br /> r ,� , <br /> � � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />