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�� � <br /> CITY OF ORONO PERMIT NO.: 2011-00048 <br /> 2750 KELLCY PARKWAY <br /> ORONO, MN 5�356- DATE ISSUED: O1/24/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADURESS : 45 FERNDALE GREEN <br /> PIN : 36-1 I 8-23-44-001� <br /> LEGAL DESC : ALLO-RAE TERRACE <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIYSTRUCTION TYPE : ROOFING -ASPI{ALT <br /> ACTIVITY : O/S BUILDING - UNDEFWED <br /> VALUATION : S 6,895.00 <br /> NOTE: 'll',AR OPI' REROOP-ASPI IAL�[� <br /> APPLICANT PERMIT FEE SCHEDULE 147.�0 <br /> NORTHERN EXPOSURE EXT INC. STATE SURCHARGE(VALUATION) 5.00 <br /> 9097 S HWY DR <br /> LEXINGTON, MN 55014 TOTAL 152.50 <br /> (763)783-1 121 PAID WITH CC# 6818 <br /> Minnesota State License#: 20527650 <br /> OWNER <br /> DAVID, JOSIIUA& NICOLE <br /> 45 FERNDALE GREEN <br /> WAYZATA, MN 55391- <br /> AGRGEMENT AND SWORN STATEMENT <br /> I�he���ork for�chich this permit is issued shall be pert�irmed according to <br /> thc approvcd plans and specitications,applicablc City approvals,and thc <br /> Stale Buildin�Code. �I'his permit is for onl��the���ork described and does <br /> not erant pcnnission ibr additional or related�cork���hich rcquires scparate <br /> permits. nll provisions of la�vs.ind ordinances governing this lype of worl: <br /> � shall be compied�vith���hether�u not specitied herein.This permit will <br /> expire and becomc null and vuid if construction authorized is not <br /> commenced within I 80 days of the date 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 /> rcquested in conformance�vith the State f3uilding Code.This pennit may be <br /> revok�d�at am'time for d cause. <br /> / i� i // / la / <br /> A icant Permitee " nature Da e Issue L3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />