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' � �* CITY OF ORONO PERMIT NO.: 2011-01196 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 10/OS/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4680 NORTH ARM DR W <br /> PIN : 06-117-23-23-0006 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : WINDOWS <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 3,145.00 <br /> NOTE: REPLACE(1)WINDOW IN EXISTING OPENING <br /> APPLICANT pERMIT FEE SCHEDULE 103.25 <br /> INSTALLATION MASTERS INC STATE SURCHARGE(VALUATION) 1.57 <br /> 359 WYLDWOOD LANE <br /> 55432- MAIL-IN FEE 2.00 <br /> (763)780-1212 TOTAL 106.82 <br /> PAID WITH CC# 0314 <br /> OWNER <br /> WESTFALL,MYRON&PATRICIA <br /> 4680 NORTH ARM DR W <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revo ed at�ny time for e cause. <br /> Applicant Permit ignature /Dl Date /` /vl � � ` <br /> Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />