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CITY OF ORONO PERMIT NO.: 2010-00938 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/05/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4520 WATERTOWN RD <br /> PIN : 31-118-23-21-0002 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 18,250.00 <br /> NOTE: TEAR OFF REROOF-ASPHALT SHINGLES <br /> APPLICANT PERMIT FEE SCHEDULE 324.50 <br /> AMERICAN BUILDING CONTRACTORS STATE SURCHARGE(VALUATION) 9.13 <br /> 2960 JUDICIAL RD#100 <br /> BURNSVILLE, MN 55337 TOTAL 333.63 <br /> (952)707-6959 <br /> Minnesota State License#: 20169383 <br /> OWNER <br /> EPPARD, ROBERT D& SARAH M <br /> 4520 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 i,/onformance h the State Building Code.This permit may be <br /> revok•... any time ford ause. <br /> Al%icant Per itee ignature Date Issue. Cy Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />