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CITY OF ORONO PERMIT NO.: 2011-00215 <br /> 2750 KELLEY PARKWAY <br /> • <br /> ORONO, MN 55356- DATE ISSUED: 04/12/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4545 WATERTOWN RD <br /> PIN : 31-118-23-24-0004 <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 : $ 15,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 7.50 <br /> 7026E FISH LAKE ROAD <br /> MAPLE GROVE, MN 55311- TOTAL 273.00 <br /> (651)329-6916 <br /> Minnesota State License#:20633887 <br /> OWNER <br /> BROLL,MR&MRS JEFF <br /> 4545 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 conforma •.wi the ta- Building Code.This permit may be <br /> 'revoked at any t' - d ,Caus- ' <br /> Applic /'er i Signatu� I.te Issued By ture Date <br /> S PARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOV <br />