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CITY OF ORONO PERMIT NO.: 2010-01036 <br /> ' � � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3405 SIXTH AVE N <br /> PIN : 29-118-23-43-0010 <br /> LEGAL DESC : CRADDOCK LEDSTROM ESTATES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT � <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: TEAR OFF REROOF-ASPHALT <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 <br /> 12366 RIVER RIDGE ROAD <br /> BURNSVILLE,MN 55337- TOTAL 167.25 <br /> (612)861-7000 PAID WITH CC# 5206 <br /> Minnesota State License#:20593656 <br /> OWNER <br /> SAWYER,THOMAS&NANCY <br /> 3405 SIXTH AVE N <br /> LONG LAKE,MN 55356 <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 Ciry 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 goveming this rype 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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due caus . <br /> . <br /> �`7LtG�K�d /�i �i �� ��,c� �d, ,�j�, `p <br /> Applicant Permitee Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />