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� CITY OF ORONO PERMTT NO.: 20��-00262 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUEn: 04/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 651 SANDSTONE CIR <br /> PIN : 33-118-23-11-0030 <br /> LEGAL DESC : STONEBAY <br /> : LOT 027 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> � VALUATION : $ 8,000.00 <br /> NOTE: TEAR OFF REROOF <br /> r <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 <br /> 6541 SYCAMORE CT N TOTAL 166.25 <br /> MAPLE GROVE,MN 55369- <br /> (763)427-9696 <br /> Minnesota State License#:20637010 <br /> OWNER <br /> JOHNSON,ROGER <br /> 651 SANDSTONE CIRCLE <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 for additional or related work which requires sepazate <br /> ; permiu. All provisions of laws and ordinances governing this type of work <br /> • shall be compied with whether or not specified herein.This permit wili <br /> expire and become null and void if consVuction 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 /> revoke at �y time fo due cause. <br /> / ( / /( / � <br /> aQ <br /> Applicant Permitee Signature � Date � � <br /> Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />