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, <br /> , ' • CITY OF ORONO PERMIT NO.: 2009-00518 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 08/24/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3640 BAYSIDE RD <br /> PIN : OS-117-23-21-0011 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> VALUATION : $ 25,000.00 <br /> NOTE: HOUSE REROOF AND NEW TRUSSES ON BLOCK WALL GARAGE <br /> APPLICANT pERMIT FEE SCHEDULE 413.00 <br /> REID CONSTRUCTION STATE SURCHARGE(VALUATION) 12.50 <br /> 7612 450TH ST. <br /> HARRIS, MN 55032- MISC FEE 0.00 <br /> (651)216-4233 TOTAL 425.50 <br /> Minnesota State License#: 20392736 <br /> OWNER <br /> OLSON, HERBERT&JANE <br /> 3640 BAYSIDE 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 /> [hc approved plans and specifications,applicable City approvals,and [he <br /> S[ate 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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at an for due cause. <br /> �' /�-2�� �iz�� la � l l <br /> Applicant Permitee Signature Date Issued B ignature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED AB V . <br />