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�, CITY OF ORONO * Z 0 1 4 - 0 0 5 4 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06✓03/2014 <br /> � ORONO,MN 55356- <br /> (952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 760 HUNT FARM RD <br /> pIN : 31-118-23-11-0010 <br /> LEGAL DESC : HUNTINGTON FARM <br /> : LOT 001 BLOCK 009 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE . /�S��t-� <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 16,000.00 <br /> NOTE: (I 1)WINDOW REPLACEMENTS AND(2)ENTRY DOOR REPLACEMENTS(KNEE WALL BUILD UP ON PORCH FOR 8 <br /> WINDOWS) <br /> APPLICANT PERMIT FEE SCHEDULE 280.25 <br /> STATE SURCHARGE(VALUATION) 8.00 <br /> THE HOME DEPOT A.H.S. MpIL-IN FEE 2.00 <br /> 2690 CUMBERLAND PKWY,STE 300 <br /> 30339- TOTAL 290.25 <br /> (763)542-8826 Payment(s) <br /> Minnesota State License#:BUIL-20268257 CHECK 68224 290.25 <br /> OWNER <br /> KURNVILLA,MICHAEL&LEENA <br /> 760 HLTNT FARM RD <br /> LONG LAKE,MN 55356 <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. 7'his 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 goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> \��1�'l.�.til�f / / <br /> Applicant Permitee Signature Date Issued y Si ature Date <br />