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' CITY OF ORONO PERMIT NO.: 2011-00544 . <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 06/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4740 BAYSIDE RD <br /> PIN : 31-118-23-33-0007 <br /> LEGAL DESC : LJNPLATTED 31 118 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 : $ 15,000.00 <br /> APPLICANT pERMIT FEE SCHEDULE 265.50 <br /> THREE PINES CONSTRUCTION STATE SURCHARGE(VALUATION) 7.50 <br /> 2876 MIDDLE STREET <br /> ST PAUL, MN 55109- TOTAL 273.00 <br /> (763)244-9199 <br /> Minnesota State License#: 20598207 <br /> OWNER <br /> IVERSEN, ROSEMARY C <br /> 2835 CASCO PT RD <br /> WAYZATA, MN 55391- <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 responsible for assuring all required inspections aze <br /> reques d in conformance with the State Building Code.This permit may be <br /> rev d at any ti e for due ca se. <br /> ��� / / ( � �� <br /> ��ipli t Permi e Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />