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< � ~' CITY OF ORONO PERMIT NO.: 2011-00444 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/09/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 250 CYGNET PL <br /> PIN : 04-117-23-23-0018 <br /> LEGAL DESC : SWAN LAKE ADDN <br /> : LOT 009 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING-LTNDEFINED <br /> VALUATION : $ 8,868.29 <br /> NOTE: TEAR OI'F AND REROOF HOUSE AND GARAGE <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> WALKER ROOFING CO., INC. STATE SURCHARGE(VALUATION) 4.43 <br /> 2274 CAPP RD <br /> ST PAUL, MN 551 14- MAIL-IN FEE 2.00 <br /> (651)251-0910 TOTAL 183.43 <br /> Minnesota State License#: 4229 PAID W[TH CC# 4291 <br /> OWNER <br /> BROWNLEE, MR. & MRS. JAMES <br /> 250 CYGNET PL <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Quilding Code. 'Chis permit�s for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permfts. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This pennit will <br /> expire and become null and void if construction au[horized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the S[ate Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �`�2�c_c.�e� �l /� l // ��i�'�tA.� /o/ l l <br /> Applicant Permitee Signat re Date [ssu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />