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� * . <br /> CITY OF ORONO PERMIT NO.: 2010-00782 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/30/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1265 ELMWOOD AVE <br /> PIN : 07-117-23-41-0017 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 002 BLOCK 005 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> COI�ISTRUCT[ON TYPE : ROOFING- RUBBER <br /> ACTIVITY : O/S BU[LDING - UNDEFINED <br /> VALUATION : $ 10,000.00 <br /> NOTE: RUI3I3ER ROOF[NG <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> PERKINS,JOHN STATE SURCHARGE(VALUATION) 5.00 <br /> 1265 ELMWOOD AVE <br /> MOUND, MN 55364 TOTAL 196J5 <br /> PAID WITH CC# 7308 <br /> OWNER <br /> PERKINS,JOHN <br /> 1265 ELMWOOD AVE <br /> MOUND, MN 55364 <br /> AGREEMENT AND SWORIY STATEMENT <br /> The work for which this pennit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Buildin�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 typc of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construc[ion au[horized 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 applicant is responsible forassuring all required inspections are <br /> requested in conformance with he State Building Code.This permit may be <br /> revoked at any time � <br /> ' <br /> `_� .__ _ r! / / � � �.0�/� lV <br /> Applicant Pern�itce S'gnatu e Date Issu By Signa re Date <br /> - S ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />