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f � CITY OF ORONO PERMIT NO.: 2oiaoos6o <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2104 SUGARWOOD DR <br /> PIN : 34-118-23-21-0022 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 003 BLOCK 004 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 20,000.00 <br /> NOTE: TEAR OFF REROOF-CEDAR SI IAKES <br /> APPLICANT pERMIT FEE SCHEDULE 339.25 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 10.00 <br /> 6541 SYCAMORE CT N TOTAL 349.25 <br /> MAPLE GROVE,MN 55369- <br /> (763)427-9696 <br /> Minnesota State License#:20637010 <br /> OWNER <br /> KOURY,FRED&ANN CHAFOULIAS <br /> 2104 SUGARWOOD DR <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 specifica[ions,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 conswction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 18 days at any time after work has commenced. <br /> The ap � � esponsib for assuring all required inspections aze <br /> req ted in con ormanc i the State Building Code.This permit may be <br /> r oked at any me for u ause. <br /> - " / `� / �p 9� 0�0� `� <br /> Applic ermitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />