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CITY OF ORONO PERMIT NO.: 2010-00586 <br /> 2750 KELLEY PARKWAY <br /> �~ ORONO, MN 55356- DATE 1SSUEn: 07/15/2010 <br /> - 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1905 CONCORDIA ST <br /> PIN : 18-117-23-14-0015 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 7,000.00 <br /> NOTE: NEW ROOF&SIDING <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> NEW LIFE CONTRACTING STATE SURCHARGE(VALUATION) 5.00 <br /> 8030 OLD CEDAR AVE#119 TOTAL 152.50 <br /> BLOOMINGTON,MN 55431- <br /> (651)224-3442 <br /> Minnesota State License#: 20249486 <br /> OWNER <br /> BRIGGS,GARY& MARTHA <br /> 1905 CONCORDIA ST <br /> WAYZATA, MN 55391- <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 permi[will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construc[ion is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring � equired inspections are /� <br /> requested in conformance with the ate�i mg Code.This permit may be <br /> revoked time foy,�ue ca � <br /> i i /(� e�'n� � ✓` � �� <br /> App 'ca t Permite Sig ature te Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />