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f CITY OF ORONO * 2 0 1 7 — 0 1 3 5 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 581 NORTH STREAM RD <br /> PIN 25-118-23-34-0005 <br /> LEGAL DESC NORTH STREAM <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 12,753.00 <br /> NOTE: REPLACE(4)WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 247.79 <br /> STATE SURCHARGE(VALUATION) 6.38 <br /> PELLA NORTHLAND TOTAL 254.17 <br /> 15300 25TH AVE N.-SUITE# 100 Payment(s) <br /> PLYMOUTH,MN 55447- CHECK 79082 254.17 <br /> (952)345-6047 <br /> Minnesota State License#:BUIL-BC645090 <br /> OWNER <br /> LARSON,DAVID&JANIS <br /> 581 NORTH STREAM RD <br /> WAYZATA,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 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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �o lO 17 <br /> Applicant Petmi a Signature Date Issued By ature Date <br />