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__ <br /> ., � CITY OF ORONO PERMIT NO.: 2 l09-00806 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: U13/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3155 JAMESTOWN RD <br /> PIN : 28-118-23-33-0012 <br /> LEGAL DESC : CAMELOT <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYP� : WINDOWS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALiJATION : $ 14,097.00 <br /> NOTE: 5-WINDOWS ANI�4-SASH REPLACEMENTS IN EXISTING OPENINGS. <br /> li <br /> I <br /> I , <br /> �i <br /> APPLICANT <br /> PERMIT FEE SCHEDULE , 265.50 <br /> PELLA WINDOWS DOORS STATE SURCHARGE(VALUATION) II 7.05 <br /> 15300 25TH AVE N.+SUITE# 100 <br /> PLYMOUTH,MN SSj447 MAIL-IN FEE 2.00 <br /> i <br /> (952)345-6047 TOTAL I 274.55 <br /> Minnesota State Lice�se#:20165884 <br /> I <br /> OWNER <br /> DECUBELLIS,KE ETH&JENNIFER <br /> 3155 JAMESTOWN RD <br /> LONG LAKE,MN 35356- <br /> AGREEME T AND SWORN STATEMENT <br /> The work for which thi permit is issued shall be performed according to <br /> the approved plans and pecifications,applicable City approvals,and the <br /> State Building Code. is permit is for only the work described and does <br /> not grant permission fo additional or related work which requires separate � <br /> permi[s. All provision of laws and ordinances goveming this type of work � <br /> shall be compied with�vhether or not specified herein.This permit will <br /> expire and become nul and void if construction authorized is not i <br /> commenced within 18 days of the date of issuance,or if construction is <br /> suspended for a perio of 180 days at any time after work has commenced. <br /> The applicant is respo sible for assuring all required inspections are <br /> requested in conformaa�r►ce with the State Building Code.This permit may be <br /> revoked at any time fdr due cause. <br /> �� �cCe�' ii � ��� a ��� � � aq <br /> Appiicant Permite Signature Date Iss y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED OVE. <br /> � � <br />