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� CITY OF ORONO PERMIT NO.: 2009-00835 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 1U18/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3980 DAHL RD <br /> PIN : 08-117-23-23-0001 <br /> LEGAL DESC : UNPLATTED 08 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> VALUATION . $2,500�00"' <br /> NOTE: ROOF REPAIR- 10 SQUARE <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUAT[ON) 1.25 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 MISC FEE 0.00 <br /> MAPLE PLAIN, MN 55359 TOTAL 89.75 <br /> (763)479-8700 <br /> Minnesota State License#: 3247 <br /> OWNER <br /> MCGLYNN, THOMAS <br /> 3980 DAHL RD <br /> MOUND, MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separatc <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at any time after work has commenced. <br /> The appiicant is responsible for assuring alI required inspections are <br /> reques[ed in conformance with the State Building Code.This permit may be <br /> revoked any time for due cause. <br /> � /f �l / I$ ld`� l l <br /> A licant Permitee Signature Date Issue By nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOVE. <br />