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111111111111111111111111 1111111M <br /> CITY OF ORONO * 2013 - 00657 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 315 TONKAWA RD <br /> PIN 06-117-23-14-0021 <br /> LEGAL DESC REG. LAND SURVEY NO.0540 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-OTHER <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 19,300.00 <br /> NOTE: EPDM FLAT ROOF <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 9.65 <br /> 941 W 80TH STREET <br /> BLOOMINGTON,MN 55420- TOTAL 348.90 <br /> (612)881-2241 PAID WITH CC# 9068 <br /> Minnesota State License#: 6560 <br /> OWNER <br /> Waycrosse,Inc. <br /> MACMILLAN,MARTHA E <br /> 15407 MCGINTRY RD W <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 separate <br /> permits. All provisions of laws and ordinances governing 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 /> re ed at any time for due ca se. <br /> 7/ / 7/ /3 7/ &.l <br /> plicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />