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,� , CITY OF ORONO PERMIT NO.: 2009-00354 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/25/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 220 CYGNET PL <br /> PIN : 04-117-23-23-0014 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BU(LDING-UNDEFINED <br /> VALUATION : $ 7,900.00 <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> STEELE CONSTRUCTION SERVICES, INC. STATE SURCHARGE(VALUATION) 3.95 <br /> 4880 HILLCREST DR. <br /> DEEPHAVEN, MN 55331- TOTAL 166.20 <br /> (612)508-1865 <br /> Minnesota State License#: 20428136 <br /> OWNER <br /> HAYES, CHRISTOPHER&ANDRE <br /> 220 CYGNET PL <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> Che work for which this permit is issued shall be performed according[o <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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wi[h the S[ate Building Code.This permit may be <br /> revoked a[ e for due cause. <br /> G-���,�ti,��� � � ���� � (.�� /„� � <br /> Applicant Permitee Signature Date � �� <br /> Is ue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />