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� CITY OF ORONO PERMIT NO.: 2010-01034 <br /> 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE �ssUEn: 10/20/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 395 FERNDALE RD N <br /> PIN : 36-118-23-41-0001 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 45,000.00 <br /> NOTt�,: "I F,AR OFt�RGR003�-CEDAR <br /> APPLICANT PERMIT FEE SCHEDULE 628.00 <br /> THOMAS BREN HOMES STATE SURCHARGE(VALUATION) 22.50 <br /> 2073 WAYZATA BLVD. W. #50 <br /> WAYZATA, MN 55391 TOTAL 650.50 <br /> (952)475-6777 <br /> Minnesota State License#: 20128144 <br /> OWNER <br /> TOPOUSIS, DAMIN& ROSEMARIE <br /> 395 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State[3uilding Code. This pennit is for only the work described and does <br /> not grant permission Yor additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type o1'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 date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> Thc applicant is responsible for assuring all required inspections are <br /> rcquested in conformance with the State Building Code.This permit may be <br /> revo� at any�ft�'�e for due ca se. <br /> ��./� /'2.,/L ��l ��l �� i i <br /> Applicant Permitee Signature Date Issued 13y nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRBED ABO . <br />