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� CITY OF ORONO PERMIT NO.: 2008-00253 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 09/24/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4360 SIXTH AVE N <br /> PIN : 31-118-23-12-0011 <br /> LEGAL DESC : SHARON HILLS <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,800.00 <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> R& B CARPENTRY STATE SURCHARGE(VALUATION) 1.40 <br /> 5079 MA1N ST. E. TOTAL 89.90 <br /> MAPLE PLAIN,MN 55359- <br /> (952)688-3665 <br /> Minnesota State License#:20454577 <br /> OWIVER <br /> FLIES,DONALD&NAWAL <br /> 4360 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 pians 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 sepatate <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 /> requested in conformance with the State Building Code.This permit may be <br /> revo ed at any time for due cause. <br /> � �Z�'�'' ` _ _' � l�y O� �/ Z / �O <br /> A plicant Permitee Signature Date Issued y ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE. <br />