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CITY OF ORONO PERMIT NO.: 2009-00380 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/06/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4115 WATERTOWN RD <br /> PIN 31-118-23-41-0014 <br /> LEGAL DESC MAPLE PLACE 2ND ADDN <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 17,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 295.00 <br /> WALKER ROOFING CO.,INC. STATE SURCHARGE(VALUATION) 8.50 <br /> 2274 CAPP RD <br /> MN 55104- <br /> TOTAL 303.50 <br /> () <br /> Minnesota State License#:4229 <br /> OWNER <br /> DYER,MICHEAL&JILL <br /> 4115 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 cause. <br /> Applicant Permitee Signature Date Issued B gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED MOVE. <br />