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R 2750 KELLEY PARKWAY * � 0 1 6 - 0 0 3 4 4 * <br /> �, DATE ISSUED: 04/06/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1179 ELMWOOD AVE <br /> PIIY : 07-117-23-14-0030 <br /> LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,920.00 <br /> NOTE: VALUATION OF PERMIT:$5,920.00 <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOT�CE FOR TEAR pFF INSPECTIONS. (WE REQUIRE 24-48 NOTICE,PRIOR TO <br /> WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. <br /> S[GNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. <br /> APPLICANT PERMIT FEE SCHEDULE 139.36 <br /> NEW TOWN EXTERIORS STATE SURCHARGE(VALUATION) 2.96 <br /> 4751 TONKAWAVIEW COURT TOTAL 142.32 <br /> MOUND, MN 55364- Payment(s) <br /> (612)221-0952 CHECK 3086 14232 <br /> Minnesota State License#: BUIL-679621 <br /> OWNER <br /> GARLOCK, MR.&MRS. BRUCE <br /> 1179 ELMWOOD AVE <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed aceording 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 permit 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 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 State Building Code.This permit may be <br /> revoked t any tim rdne-e use. <br /> ---- <br /> _— <br /> ____ . / <br /> � � `�, �L ��G �(i �"= � / � <br /> pplicant erm' Signature D e Issued B ignatuie Date <br />