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CITY OF ORONO * Z 0 1 Z - 0 0 4 9 8 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 06/06/2012 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4245 CHIPPEWA LA <br /> PIN : 31-118-23-42-0001 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -OTHER <br /> ACTIVITY : O/S BU[LDING-UNDEFINED <br /> VALUATION : $ 77,000.00 <br /> NOTE: RECYCLED PLASTIC ROOF <br /> APPLICANT PERMIT FEE SCHEDULE 884.25 <br /> LORD&NELSON, LLC STATE SURCHARGE(VALUATION) 38.50 <br /> 7091 CAREY LN TOTAL 922.75 <br /> MAPLE GROVE, MN 55369- <br /> (952)476-8372 <br /> Minnesota State License#: BC2801 l5 <br /> OWNER <br /> ADAMS,JOHN &CLEA <br /> 4245 CHIPPEWA LA <br /> MAPLE PLAIN, MN 55359- <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 l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in onform e with State Building Code.This permit may be <br /> revoked at any ' due ca s <br /> "� � � � (2 <br /> Ap icant P mitee Si r Date Issued By Si a re ate <br /> ) <br /> � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. <br />