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� � CITY OF ORONO PERMIT NO.: 2009-00429 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/22/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2010 COLIN DR <br /> PIN : 03-117-23-21-0014 <br /> LEGAL DESC : KELLEY GREEN <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 : $ 1,831.00 <br /> NOTE: <br /> TGAR OFF 4 FEET UP FROM EAVES ON BACKSIDE OF ROOF AND REPAIR. <br /> APPLICANT pERMIT FEE SCHEDULE 70.50 <br /> WESTERN CEDAR SUPPLY, INC. STATE SURCHARGE(VALUATION) 0.92 <br /> 9700 13TH AVENUE N <br /> PLYMOUTH, MN 55441- TOTAL 71.42 <br /> (763)541-0304 <br /> Minnesota State License#: 20155566 <br /> OWNER <br /> FRANCHOT II1, DOUGLAS <br /> 2010 COL[N DR <br /> LONG LAKE, MN 55356- <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 ofwork <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 are <br /> requested in confomiance with[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> _..�-Ls'�-'�-.�C�� !/- d//i-?i'""�'?S� ��J'���'- L� � � D <br /> 'Applicant Permitee Signature Date Issu d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />