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` � � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 4 - 0 0 2 7 1 * <br /> DATE ISSUED: 04/02/2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 30 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0011 <br /> LEGAL DESC : MYRTLEWOOD <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 7,900.00 <br /> NOTE: REPLACE(3)WINDOWS AND(1)ENTRY DOOR <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> SCHERER BROS LUMBER STATE SURCHARGE(VALUATION) 3.95 <br /> 10751 EXCELSIOR BLVD MAIL-IN FEE 2.00 <br /> HOPKINS,MN 55343 TOTAL 168.20 <br /> (952)277-1600 Payment(s) <br /> Minnesota State License#: BUIL-BC239369 CREDIT CARD 3989 168.20 <br /> OWNER <br /> PAULSON,BRUCE&LORI <br /> 30 MYRTLEWOOD RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> i t� / _ J � <br /> a--�/ <br /> App icant Permitee Sig re e Issued Signature Date <br />