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_ . CITY OF ORONO * z 0 1 3 - 0 0 5 8 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/27/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3450 BIRCH LA <br /> PIN : 08-117-23-43-0023 <br /> LEGAL DESC : LYDIARDS PARK LAKE MTKA <br /> : LOT 018 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATIOI�I : $ 12,248.00 <br /> NOTE: REYLACG(6)WINDOWS INTO EXISTING OPENINGS. <br /> APPLICANT pERMIT FEE SCHEDULE 236.00 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 6.12 <br /> 1920 COUNTY RD C. WEST <br /> ROSEVILLE, MN 55113 MISC FEE 0.00 <br /> (612)502-4777 MAIL-IN FEE 2.00 <br /> Minnesota State License#: BC130983 TOTAL 244.12 <br /> PAID WITH CC# 8788 <br /> OWNER <br /> ENGLER, MR. & MRS. <br /> 3450 BIRCH LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specitications,applicable Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and docs <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 /> commenecd within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any[ime afrer 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 /��/ � <br /> A licant Permitee Si n Date �� ��� <br /> pp g- Iss By ignalure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />