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� <br /> i CITY OF ORONO PERMIT NO.: 2010-01015 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUE�: 1U12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 345 FERNDALE RD N <br /> PIN : 36-118-23-41-0028 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 023 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 7,000.00 <br /> NO"fE: "I'EAR Oi�F PRONT OF HOUSE ONLY-REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> DIVERSIFIED ROOFIN CO. STATE SURCHARGE(VALUATION) 5.00 <br /> 23525 VARIOL[TE ST NW <br /> ELK RIVER, MN 55330- MAIL-IN FEE 2.00 <br /> (612)490-6498 TOTAL 154.50 <br /> Minnesota State License#:20230092 <br /> OWNER <br /> WILLIAMS, JAMES &JUDITH <br /> 345 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMEIYT AND SWORN STATEMENT <br /> The work for�chich this permit is issucd sl�all be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State[3uilding Code. "Chis pennit is for only the work described and does <br /> not arant 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 whcther 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 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 /> requested in conformance with the State L3uilding Code."I�his permit may be <br /> revoked at any time for due cause. <br /> /H`t�c.! �l, � � ���'�1 <br /> i i <br /> Applicant Permitee Signature Date Issued Bv, gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRBE BOVE. <br />