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CITY OF ORONO PERMIT NO.: 20�o-oos�� <br /> 2750 KELLEY PARKWAY <br /> � � ORONO, MN 55356- DA7'E iSsuEn: 07/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 775 FERNDALE RD N <br /> PIN : 36-118-23-1 1-0016 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1031 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,500.00 <br /> APPLICANT pERM[T FEE SCHEDULE 177.00 <br /> J. BENSON CONSTRUCT[ON STATE SURCHARGE(VALUATION) 5.00 <br /> 7020 WALKER STREET <br /> ST. LOUIS PARK, MN 55426 MISC FEE 0.00 <br /> (952)920-0717 TOTAL 182.00 <br /> Minnesota State License#:4740 PAID WITH CC# 9655 <br /> OWNER <br /> ERICKSON, BRADLEY& KAREN <br /> 775 FERNDALE RD N <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 the <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 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 (80 day f the date of issuance,or if construction is <br /> suspended for a peri of 0 days at any time after work has commenced. <br /> The app nt is res onsi e Yor as required inspections are <br /> request confor nc the State Building Code.This permit may be <br /> revoke t any tim cause. <br /> / / / / <br /> ppl ant Pe e Signature Date Issued By ature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />