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CITY OF ORONO PERMIT NO.: 2011-0043� <br /> � �� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 06/07/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2130 SHADYWOOD RD <br /> PIN : 17-117-23-42-0020 <br /> LEGAL DESC : WILEYS PARK LAKE MTKA <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOF[NG -ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATTON : $ 12,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> ROOFING CONCEPTS LLC STATE SURCHARGE(VALUATION) 6.00 <br /> 2184 SHADYWOOD RD <br /> WAYZATA, MN 55391- TOTAL 227.25 <br /> (763)232-8354 PA1D W[TH CC# 4350 <br /> Minnesota State License#: 20638488 <br /> OWNER <br /> R[LEY& PAMELA CRAFT,JACK <br /> 2130 SHADYWOOD RD <br /> WAYZATA, MN 55391- <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 /> Sta[e Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing 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 18Q�ays of the date of issuance,or if construction is <br /> suspended for a periq�of 180 days at any time atter work has commenced. <br /> The appli is resp sible for assuring all required inspections are <br /> reque t onfot' nce with the State Building Code.This permit may be <br /> revol�e y ti for due cause. <br /> � 2� � <br /> ��s � _ :�:, �, _ � �.� ��� � �� — 7 -- , <br /> � � � <br /> A I c t e itee Signature Date � Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />