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� CITY OF ORONO * 2 0 1 2 - 0 0 4 6 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 06/04/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2640 NORTH SHORE DR <br /> PIN : 09-117-23-13-0009 <br /> LEGAL DESC : COLWELL ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 33,027.00 <br /> NOTE: REPLACE(30)WINDOWS AND(3)STORM DOORS <br /> APPLICANT pERMIT FEE SCHEDULE 509.75 <br /> PELLA NORTHLAND STATE SURCHARGE(VALUATION) 16.51 <br /> 15300 25TH AVE N.-SUITE# 100 <br /> PLYMOUTH,MN 55447 MAIL-IN FEE 2.00 <br /> (952)34�6047 TOTAL 528.26 <br /> Minnesota State License#: BC645090 <br /> OWNER <br /> HODDER,KENT H&JUDITH B <br /> 2640 NORTH SHORE DR <br /> ,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 sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This pertnit 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 a8er 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 /> Applicant Permitee Signature Date Issued By Si a re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />