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CITY OF ORONO PERMIT NO.: 2009-00369 <br /> � 2750 KELLEY PARKWAY <br /> • � ORONO, MN 55356- �ATE ISSUED: 07/OU2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1921 FAGERNESS POINT RD <br /> PIN : 17-117-23-23-OO10 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 018 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 5,945.00 <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> ERNST ENTERPRISES LLC STATE SURCHARGE(VALUATION) 2.97 <br /> PO BOX 457 <br /> WATERTOWN, MN 55388- TOTAL 135.72 <br /> (612)210-7891 PAID WITH CC# 7292 <br /> Minnesota State License#: 20630424 <br /> OWNER <br /> PETERSON, MR& MRS DARRYL <br /> 1921 FAGERNESS PT RD <br /> WAYZATA, MN 55391 <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 [he <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed 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 180 days of the da[e of issuance,or if construction is <br /> suspended for a period of 180 days at any time after 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 at any time for d c se. <br /> ` �G/-�'� 7 / / / � / / <br /> Applicant Permitee Signature Date Issued B gnature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />