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CITY OF ORONO * 2 0 1 5 - 0 0 3 z 4 * <br /> � , . 2750 KELLEY PARKWAY pATE [SSUE�: 03/19/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1960 FOX WDGE RD <br /> PIN : 03-117-23-13-0011 <br /> LEGAL DESC : FOX RIDGE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-CINDEFINED <br /> VALUATION : $ 4,000.00 <br /> NOTE: REPLACE(14)WINDOWS IN"I'O EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 108.42 <br /> STATE SURCHARGE(VALUATION) 2.00 <br /> PRIME HOME CONSTRUCTION TOTAL 110.42 <br /> 3620 CENTRAL AVE NE <br /> MINNEAPOLIS, MN 55418- Payment(s) <br /> (612)990-2636 CREDIT CARD 4599 110.42 <br /> OWNER <br /> STAUBER, ROB <br /> 1960 FOX RIDGE RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT A1vD SWORN STATEMENT <br /> 'I�he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> Sta[e 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 no[ <br /> commenced within 180 days of[he 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 E3uilding Code.This permit may be <br /> revo at any time for due cause. � <br /> _� <br /> ----����� , ��/ � � <br /> Applicant Permitee Signature Date Issued y Signature Date <br />