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l �\ <br /> CITY OF ORONO PERMIT NO.: 2010-00723 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3485 CHRISTINE DR <br /> PIN : OS-117-23-12-0021 <br /> LEGAL DESC : BETZ ADDN <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE ; MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BU[LDING- UNDEFINED <br /> VALUATTOI�I : $ 10,000.00 <br /> NOTE: <br /> TEAR OFF CEDAR SHAKES AND RGROOF WITH ASYHALT SHINGLES <br /> APPWCANT PERMIT FEE SCHEDULE 191.75 <br /> BRAD RADTKES ASSOC LLC STATE SURCHARGE(VALUATION) 5.00 <br /> 55395- <br /> (320)420-7535 TOTAL 196J5 <br /> Minnesota State License#: 20626386 <br /> OWNER <br /> HAGBERG, MARIE&CARLTON <br /> 3485 CHRISTINE DR <br /> MAPLE PLAIN, MN 55359 <br /> AGREEMENT AND SWORN STATEMENT <br /> 'l�he work for which this permit is issucd shall be performed according to <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> State 13uilding Codc. This permit is for only the work dcscribed and does <br /> not grant permission for additional or related work which reyuires 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 ap�c�nt is responsible for assuring all required inspections are <br /> re ested in!con�� nce with the State Building Code.This permit may be <br /> evok�at e cause. _ , <br /> �' � � � 1 � �l �U l �� <br /> pplicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />