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CITY OF ORONO PERMIT NO.: 2009-00559 <br /> � 2750 KELLEY PARKWAY <br /> . ORONO, MN 55356- �ATE IssuEn: 09/08/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 760 DICKEY LAKE DR <br /> PI l� : 27-118-23-33-0009 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEF[NED <br /> VALUATION : $ 23,317.00 <br /> APPLICANT PERM[T FEE SCHEDULE 398.25 <br /> HOME VALUE [MPROVEMENTS STATE SURCHARGE(VALUATION) 11.66 <br /> 13756 REIMER DR <br /> MAPLE GROVE, MN 55311- TOTAL 409.91 <br /> (763)425-9500 <br /> Minnesota State License#: 20464927 <br /> OWNER <br /> THOMAS, ABRAHAM <br /> 760 D[CKEY LAKE DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AIYD 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 goveming this type of work <br /> shall be compicd with whether or no[specified herein.This permit will <br /> expire and become nuil and void if construction authorized is no[ <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended or a period o days at any time aRer work has commenced. <br /> The appli nt is respon ible or assuring all required inspections are <br /> re n conforma ce ith t State Building Code.This permit may be �,,/J <br /> evoke any time f r e ca e. //�{' �—� �� <br /> , ' �� 0' <br /> � �L��: ��-�c� �i ��`I �'�-�-�e-S"� ��y��;�/? � � <br /> plicant Permite Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />