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s <br /> CITY OF ORONO PERMIT NO.: 2010-00820 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/10/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1849 WEST FARM RD <br /> PIN : 27-118-23-43-0026 <br /> LEGAL DESC : N/A <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 : $ 34,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 509.75 <br /> TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 17.00 <br /> 7026E FISH LAKE ROAD <br /> MAPLE GROVE,MN 55311- MISC FEE 0.00 <br /> (651)329-6916 TOTAL 526.75 <br /> Minnesota State License#:20633887 <br /> OWNER <br /> CERNY,JOSEPH&INGER <br /> 1849 WEST FARM RD <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 for a period of 180 days at any time after work has commenced. <br /> The applicant is respo ible for assuring all required inspections are <br /> requested in confo nce iih the State BGilding Code.This permit may be <br /> revoked at an- M for cause. / <br /> / ' 7 . ///() / /6 %... <br /> / / <br /> Appli P rm a Signa ur Date Issued By SI ature <br /> SE ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV <br />