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CITY OF ORONO PERMIT NO.: 2011-00024 <br /> ' � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �AT� �ssuEu: OU10/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4375 BAYSIDE RD <br /> PIN : 06-117-23-12-0008 <br /> LEGAL DESC : UNPLATTED 06 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 17,828.28 <br /> NOTE: "I�GAR OFI'RGROOF-ASPI IALT <br /> APPLICANT PERMIT FEG SCHGDULE 309.75 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE (VALUATION) 8.91 <br /> S145 INDUSTRIAL ST <br /> SUITE 10.i TOTAL ;18.66 <br /> MAPLE PLAIN, MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#: 20631575 <br /> OWNER <br /> WHITE, STEVEN& PATRICIA <br /> 4375 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREGMENT AND SWORN STATEMENT <br /> I�hc��°ork for���hich this permit is issued shall bc performcd according to <br /> the approved plans and specifications,applicable City a�provals,and the <br /> Slatc Building Code. 'I"his permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. nll provisions of la�vs and ordinanccs govcrning this type of��°ork <br /> shall be compied with���hether or not speciticd herein."1'his permit will <br /> cxpire and become null and void if construction authorized is not <br /> commenccd 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 assurine all required inspections are <br /> requested in conformance with Uie State I3uilding Code.This permit may be <br /> reiYo� at anv time for due cause. <br /> - �_---- �l i0 / ze+i j CL�� � / �� / /� <br /> �pliearit Permitec Signature Date I : [3y Sign• re Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />