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� CITY OF ORONO PERMIT 1v0.: 2oo�ooi�� <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEv: 08/28/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> RGPRINTED ON 8/28/2008 <br /> ADDRESS : 3440 BAYSIDE RD <br /> PIN : OS-117-23-13-0054 <br /> LEGAL DESC : N/A <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: <br /> REROOF/TEAR OFF <br /> APPLICANT <br /> MIKE HINCK PERMIT FEE SCHEDULE 162.25 <br /> 4738 GALWAY ROAD STATE SURCHARGE(VALUATION) 4.00 <br /> MOUND,MN 55364 TOTAL 166.25 <br /> (612)472-1321 <br /> Minnesota State License#:20005066 <br /> OWNER <br /> VAUGHAN, DAN <br /> 3440 BAYSIDE ROAD <br /> ORONO, MN 55323- <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 goveming 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 cesponsible 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />