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CITY OF ORONO PERMIT NO.: 2010-00846 <br /> � � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 09/16/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2780 SHADYWOOD RD <br /> PIN : 21-117-23-24-0041 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1196 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 7,200.00 <br /> NOTE: <br /> TEAR OFF REROOF-ARCHITECTURAL SHINGLES <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> RALOWS ROOFING&REMODELING STATE SURCHARGE(VALUATION) 5.00 <br /> 4351 PARKLAWN AVE#108E TOTAL 167.25 <br /> EDINA,MN 55424 <br /> Minnesota State License#: 20631301 <br /> OWNER <br /> WITTMER, W& S <br /> 2780 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 /> permiu. 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 /> revok d at any time for due cause. <br /> L% - l l �4 / �� l ��pl �� <br /> A Permitee Signature Date Iss y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />