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� ' CITY OF ORONO PERMIT NO.: 2011-00265 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/29/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2480 COBBLESTONE CT <br /> PIN : 33-118-23-II-0079 <br /> LEGAL DESC : STONEBAY SIXTH ADDITION <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTL: TI;AR OFt� REROOI� <br /> APPLICANT PERMIT FEE SCHEDULE 162.2� <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 <br /> 6541 SYCAMORE CT N TOTAL 166.25 <br /> MAPLE GROVE, MN �5369- <br /> (763)427-9696 <br /> Minnesota State License#: 20637010 <br /> OWNER <br /> BRADFORD, ROSE ANNA <br /> 2480 COBE3LESTONE CT <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork for�vhich this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State Buildine Code. This permit is for only the work described and does <br /> not erant permission for additional or relateJ 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 speciticd hercin.'I'his pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days ot�Uie datc ot�issuance,or if construction is <br /> suspended for a period of I80 days at any time alter work has commenced. <br /> "1'he applicant is responsible for assunng all rcquired inspections are <br /> requested in confbrmance ti•ith the State 13uilding Code.This pennit may be <br /> revoked at any time f r due cause. <br /> � �i � i. �lil( � 2 � <br /> Ap icant Permitce Signature Date Issuc 3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />