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CITY OF ORONO * 2 0 1 2 - 0 1 1 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1UOU2012 <br /> '� � ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1700 SHORELINE DR <br /> PIN : 10-117-23-14-0014 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : M1NOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-RUBBER <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 10,000.00 <br /> NOTE: VALUATION OF PERMIT:$10,000.00 <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO <br /> WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. <br /> SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. <br /> APPLICANT pERMIT FEE SCHEDULE 191.75 <br /> BROWN ROOFING INC. STATE SURCHARGE(VALUATION) 5.00 <br /> 4003 MORNINGSIDE ROAD TOTAL 196.75 <br /> EDINA,MN 55424- <br /> (952)848-0367 PAID WITH CC# 5527 <br /> Minnesota State License#: RR634083 <br /> OWNER <br /> ETAL,IRWIN JACOBS <br /> 1700 SHORELINE DR <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 /> 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 are <br /> requeste ' confo ce with the State Building Code.This permit may be <br /> revok at y tim due cause. <br /> �1 � � � Z' / /?� / Z <br /> Applicant ermitee ignature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />