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CITY OF ORONO PERMIT NO.: 2009-00244 <br /> ' 2750 KELLEY PARKWAY <br /> I ORONO, MN 55356- DATE ISSUED: 05/20/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 170 WEAR LA N <br /> PIN : 33-118-23-34-0015 <br /> LEGAL DESC : ROLLING MEADOWS 3RD ADDN <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> VALUATION : $ 9,000.00 0/5 II cl J <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> INCLINE ENTERPRISES INC STATE SURCHARGE(VALUATION) 4.50 <br /> 26175 BIRCH BLUFF RD <br /> SHOREWOOD,MN 55331 TOTAL 181.50 <br /> (612)471-9065 <br /> Minnesota State License#: 20168831 <br /> OWNER <br /> BERKEY, SCOTT <br /> 170 WEAR LA N <br /> LONG LAKE,MN 55356 <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 fo a period of 180 days at any time after work has commenced. <br /> The a.'lie,. t is responsible for assuring all required inspections are <br /> re..este.1 c.• : ance with the State Building Code.This permit may be <br /> itp <br /> woke. tim for due cause. <br /> 3726 / 09 /, <br /> • .plican ''ermite- Signature Date Issued Byj natureDate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE' HAN DESCRIBED AB E. <br />