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� - µ CITY OF ORONO * Z 0 1 7 — 0 PJ 7 9 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/12/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 425 OXFORD RD <br /> PIN : OS-117-23-41-0023 <br /> LEGAL DESC : STIELOWS 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> :ERMIT TYPE : MiNOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,089.00 <br /> NOTE: REPLACE(2)WINDOWS INTO EXISTING OPENINGS. <br /> APPLICANT PERMIT FEE SCHEDULE 154.85 <br /> STATE SURCHARGE(VALUAT[ON) 3.04 <br /> RENEWAL BY ANDERSON TOTAL 157.89 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE,MN 55113 Payment(s) <br /> CREDIT CARD 8788 157.89 <br /> (612)502-4777 <br /> Minnesota State License#: BUIL-BC130983 <br /> OWNER <br /> WITHROW,JOHN&JESSICA <br /> 425 OXFORD RD <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 does <br /> not grant permission Yor additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this rype 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 /> ��u-�-� �� �� z � � i��/ 7 <br /> Applicant Permitee Signature Date Issued By gnature Date <br />