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� ,"` CITY OF ORONO PERMIT NO.: 2oos-oo��9 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEv: 08/07/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2090 SHORELINE DR <br /> PIN : 15-117-23-23-0001 <br /> LEGAL DESC : UNPLATTED 15 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 6,000.00 <br /> NOTE: <br /> REROOF,TEAR-OFF <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 3.00 <br /> 51451NDUSTRIAL ST. TOTAL 135J5 <br /> SUITE ]03 <br /> MAPLE PLAIN, MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#: 3247 <br /> OWNER <br /> HEAD,DOUGLAS <br /> 2090 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]80 days at any time after work has commenced. <br /> The applican�is r�esponsible for as�uring all required inspections are <br /> request��conformance with the�State Building Code.This permit may be <br /> revoked any time for e catlse.� <br /> � / <br /> �.! � � <br /> ' � -t-:6. vt// .'� � ; � l l l l <br /> �Applicant Permitee ignature Date Issued B y Si gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />