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CITY OF ORONO * 2 0 1 6 - PJ 1 1 8 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 140 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0023 <br /> LEGAL DESC : HALLSON ESTATES 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,506.00 <br /> NOTE: REPLACE(5)WINDOWS <br /> APPL[CANT PERMIT FEE SCHEDULE 185.83 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 425 <br /> 15300 25TH AVE N. -SUiTE# 100 MAIL-IN FEE 2.00 <br /> PLYMOUTH, MN 55447- TOTAL 192.08 <br /> (952)345-6047 Payment(s) <br /> Minnesota State License#: BUIL-BC645090 CHECK 75989 192.08 <br /> OWNER <br /> H[CKOK,CHRIS& ELIZABETH <br /> 140 GOLDEN VIEW DR <br /> LONG LAKE, MN 55356 <br /> AGREEMEIYT 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�vhich 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 I80 days of the date of issuance,or if construction is <br /> suspended for a period of 1 AO days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requcsted in conformance with the State Building Code.This permit may be ,� <br /> revoked at any time for due cause. ��� <br /> � _ /) :___ <br /> M(�l,l � (�ll�.� 1�(=%�-=�u�l- / �-,�-�� ��i `�-c� j� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />