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CITY OF ORONO PERMIT NO.: 2011-00490 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUEn: 06/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1445 CHERRY PL <br /> PIN : 08-117-23-33-0024 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,000.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> ASHCO EXTERIORS STATE SURCHARGE(VALUAT[ON) 3.00 <br /> 2850 CUTTERS GROVE AVE <br /> ANOKA, MN 55303- MAIL-IN FEE 2.00 <br /> (763)225-8333 TOTAL 137.75 <br /> Minnesota State License#: 20265895 PAID WITH CC# 3270 <br /> OWNER <br /> DONGOSKE, MARK <br /> 1445 CHERRY PL <br /> MOUND, MN 55364- <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 ot�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 any time for due cause. <br /> �� �l,C�:�l�--J �P/ o�o/ l/ � �/�- 1✓i� a1 v � �l <br /> Applicant Permitee Signature Date Iss y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />