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�� ' CITY OF ORONO * 2 0 1 6 - 0 1 Z 8 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/1U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1055 FERNDALE RD W <br /> PIN : 02-117-23-43-0029 <br /> LEGAL DESC : N/A <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 28,699.00 <br /> NOTE: REPLACE 5 WINDOWS IN EXISTING OPENINGS <br /> APPL[CANT PERMIT EEE SCHEDULE 478.83 <br /> STATE SURCHARGE(VALUATION) 14.35 <br /> SCHERER BROS LUMBER MAIL-IN FEE 2.00 <br /> 10751 EXCELSIOR BLVD <br /> HOPKINS,MN 55343 TOTAL 495.18 <br /> (952)277-1600 Payment(s) <br /> Minnesota State License#: BUIL-BC239369 CREDIT CARD 3281 495.18 <br /> OWNER <br /> MCCOURTNEY,GERALD&KAREN <br /> 1055 FERNDALE RD W <br /> WAYZATA, MN 55391- <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[3uilding Code.This permiC may be <br /> revoked at any time for due cause. <br /> �1�> <br /> f �� � ! ���� � �� �.�� l?�_� r��> f� � I� � /►,, <br /> Applicant Permitee Signature Date Issued By Sign ture Date <br />