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� � CITY OF ORONO PERMIT IYO.: 2010-00709 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/16/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 627 FERNDALE RD N <br /> PIN : 36-118-23-II-0029 <br /> LECAL DESC : LAURENT ADDN <br /> : C,OT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 166,000.00 <br /> NOTG: TGnR OI'1'RI;ROO1�-CI�;DAR SHAKES <br /> APPLICANT PERMIT FEE SCHEDULE 1,452.75 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 83.00 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 TOTAL 1,535.75 <br /> MAPLE PLAIN, MN 55359 <br /> (763)479-8700 <br /> Minnesota State License #:20631574 <br /> OWNER <br /> JOHNSON, BONNIE <br /> 627 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> I-hc work for which this permit is issued shall be performed according to <br /> thc approvcd plans and specifications,applicable City approvals,and thc <br /> State Building 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 type of work <br /> shall be compied with whether or not specified herein.'Chis permit will <br /> expirc and hecome null and void if construction authorized is not <br /> commenced within I 80 days of the date of issuance,or if construction is <br /> suspcnded for a period of 180 days at any time after work has commenced. <br /> 'I�he applicant is responsible for assuring all required inspections are <br /> request�d in co � rmance���iUi the State Buildine Code.This permit may be <br /> reva�d at an [� c f � c causc. <br /> % �,�-- ��/:' - �?'1 /,'",' / ,,' � �O�C�- O � I� <br /> � i �i / <br /> Applicant Permitee Signature Uale Iss d By Signature Date <br /> i SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />