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CITY OF ORONO � <br /> * 2017 - 00294 * <br /> 2']50 KELLEY PARKWAY DATE ISSUED: 03/3U2017 <br /> ORONO,MN 55356- <br /> ��i� (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2879 FARVIEW LA <br /> PIN : 04-117-23-34-0002 <br /> LEGAL DESC : FARVIEW <br /> ' : LOT O11 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIO�1 TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 14,933.00 <br /> NOTE: REPLACE(4)WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 278.77 � <br /> � STATE SURCHARGE(VALUATION) 7.47 <br /> HOME DEPOT AT HOME SERVICES MAIL-IN FEE 2.00 <br /> 2690 CUMBERLAND PKWY SUITE 30 <br /> ATLANTA,GA 30339- TOTAL 288.24 <br /> (952)345-6057 Payment(s) <br /> Minnesota State License#:BUIL-20268257 CHECK '77384 288.24 <br /> OWNER <br /> KELLEY,TYLER&ASHLEY <br /> 2879 FARVIEW LA <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. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit wil! <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 /> C� ` � l -� � , �1 , �7 <br /> Applicant Permitee Signature ate Issued By gnature Date <br />