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CITY OF ORONO * Z 0 1 6 - PJ 1 2 4 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1225 DICKENSON ST <br /> PIN : 02-117-23-31-0048 <br /> LEGAL DESC : MINNETONKA BLUFFS <br /> : LOT 000 BLOCK 016 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 1,000.00 <br /> NOTF',: SCREENS ON YATIO-OK'D BY ROGER <br /> APPLICANT PERMIT FEE SCHEDULE 43.30 <br /> STATE SURCHARGE(VALUATION) 0.50 <br /> PMI HOMES INC. TOTAL 43.80 <br /> 22035 IDEN AVENUE NORTH <br /> FOREST LAKE, MN 55025- Payment(s) <br /> (612) 867-3221 CREDIT CARD 9173 43.80 <br /> Minnesota State License#: BUIL-20628625 <br /> OWNER <br /> GIEL,TOM&SARAH <br /> 1225 DICKENSON STREET <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd 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 hereia This permit will <br /> expire and become null and void if construction auNiorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 1 SO 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 � �7 <br /> revoked at any time for due cause. �? ��/ <br /> � ; <br /> � �-,l� �� 'Z ( �--��'��� 1 oi :� i/ {� <br /> � �t'-k' <br /> A pli ant Permitee S nature Date Issued By Signature Date <br />