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CITY OF ORONO 11 1 II 111 II 1111E3 l 111111 1 11 1111111 <br /> * 2 0 1 8 — 0 0 2 7 3 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2500 DUNWOODY AVE <br /> PIN : 20-117-23-21-0019 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 003 BLOCK 007 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 3,000.00 <br /> NOTE: REPLACE(1)SLIDING DOOR AND(7)WINDOWS <br /> APPLICANT PERMIT FEE SCHEDULE 92.89 <br /> STATE SURCHARGE(VALUATION) 1.50 <br /> ROSHOTT,JACOB TOTAL 94.39 <br /> 2685 N SAUNDERS LAKE DRIVE <br /> Payment(s) <br /> MINNETRISTA,MN 55364- CREDIT CARD 8464 94.39 <br /> OWNER <br /> ROSHOTT,JACOB <br /> 2685 N SAUNDERS LAKE DRIVE <br /> MINNETRISTA,MN 55364- <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 /> r 7: X-.4v• <br /> Ap : t Permitee Signature Date Iss d y ignature Date <br />