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CITY OF ORONO PERMIT NO.: 2010-00538 <br /> � 2750 KELLEY PARKWAY <br /> � <br /> ORONO, MN 55356- DATE ISSUEn: 06/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2771 SHADYWOOD RD <br /> PIN : 21-117-23-24-0059 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0358 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -RUBBER <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 1,900.00 <br /> NOTE: 2 FLAT ROOFS-RUBBER MEMBRANE <br /> APPLICANT PERMIT FEE SCHEDULE 70.50 <br /> INCLINE ENTERPRISES INC STATE SURCHARGE(VALUATION) 0.95 <br /> 26175 BIRCH BLUFF RD <br /> SHOREWOOD, MN 55331 MISC FEE 0.00 <br /> (612)471-9065 TOTAL 71.45 <br /> Minnesota State License#: 20168831 <br /> OWNER <br /> OGLE,RICHARD&MARLY <br /> 2771 SHADYWOOD RD <br /> EXCELSIOR,MN 55331 <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 separate <br /> permits. All provisions of laws and ordinances governing this[ype 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 is uance,or if construction is <br /> suspended for a peri d of l 80 d � at any ti e after work has commenced. <br /> The appl�cant is re onsible f a suring a jequired ins ctions are <br /> requeste in conf mance wi t e State ]ding Cod This permit may be <br /> revoked t any ti e for due a e. <br /> ?��-��l <br /> �� � _ % , , <br /> Appl cant ermi e Signature Date Issued ignature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />