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1 � + <br /> CITY OF ORONO PERMIT NO.: 2010-00771 <br /> 27501_KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: O8/30/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 809 BROWN RD N <br /> PIN : 27-118-23-34-0006 <br /> LEGAL DESC : UNPLATTED 27 118 23 <br /> : LOT 000 13LOCK 000 <br /> PERMIT TYPE : M[NOR ALTI�RATIONS <br /> PROPERTY TYPE : RES[DENT[A.L <br /> CONSTRUCTION TYPE : ROOFING -��SPHALT <br /> ACTIVITY : O/S BU[LDITJG - UNDEFINED <br /> VAWATION : $ 59,000.00 <br /> tvo rE: <br /> TEAR OFF REROOF <br /> APPLICANT pERMIT FEE SCHEDULE 749.25 <br /> BERKSHIRE HOME SOLUTIONS STATE SURCHARGE(VALUATION) 29.50 <br /> 10800 OLD CTY RD 15 <br /> SUITE 104 TOTAL 778.75 <br /> PLYMOUTH, MN 55441- PAID WITH CC# 9548 <br /> (763)432-9855 <br /> Minnesota State License#: 20631273 <br /> OWNER <br /> HAHN, JERAD& LESLIE <br /> 809 BROWN RD N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pennit 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 hereia 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 construc[ion is <br /> suspended for a period of 180 days at anq time after work has commenced. <br /> The applica s responsible for assuring all required inspections are <br /> requested con� a th e State Building Code.This permit may be <br /> revoke a an time d e us� <br /> _ �) l� l �� .1�..(/L � l�l�U <br /> pplicant Pe itee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />