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CITY OF ORONO PERMIT NO.: 2010-00830 <br /> ,� 2750 KELLEY PARKWAY <br /> s ORONO, MN 55356- �ATE ISSUEn: 09/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 625 SPRING HILL RD <br /> PIN : 25-118-23-33-0003 <br /> LEGAL DESC : UNPLATTED 25 1 18 23 <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 /> VALUATI01�1 : $ 40,000.00 <br /> APPL[CANT PERMIT FEE SCHEDULE 574.25 <br /> VENTURE BUILDERS STATE SURCHARGE(VALUATION) 20.00 <br /> 11309 FETTELLY RD. W <br /> MINNETONKA, MN 55305- TOTAL 594.25 <br /> �) <br /> Minnesota State License#: 20537603 <br /> OWNER <br /> HAWN, VAN ZANDT& ELIZABETH <br /> 625 SPRING HILL RD <br /> WAYZATA, MN 55391 <br /> AGREEMEI�T 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 [he <br /> State Building Code. This permit is for only the work described and does <br /> not grant pemiission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or no[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 inspec[ions are <br /> requested in conformance with the State�Building Code.This permit may be <br /> revoked at any time dae cause� <br /> � � � - <br /> _�` ��'� _ �� � �.� � i� � <br /> / / <br /> Applicant Permitee Signature Date Issued By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB . <br />