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A <br /> r CITY OF ORONO PERMIT NO.: 2010-00952 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/06/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3850 WATERTOWN RD <br /> PIN 32-118-23-32-0005 <br /> LEGAL DESC HILLAWAY FARM <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-CEDAR <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 65,000.00 <br /> NOTE: TEAR OFF REROOF-CEDAR SHAKES <br /> APPLICANT PERMIT FEE SCHEDULE 794.25 <br /> SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 32.50 <br /> 12366 RIVER RIDGE ROAD TOTAL 826.75 <br /> BURNSVILLE,MN 55337- <br /> (612)861-7000 PAID WITH CC# 5206 <br /> Minnesota State License#:20593656 <br /> OWNER <br /> HARRIS, STEVEN M <br /> 3850 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359- <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 /> revoked at any time for due cau . <br /> t. A Cel !� /tel (o l /D <br /> Applicant Permitee Signa ure Date Issdeg By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />