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�J �. <br /> CITY OF ORONO PERMIT NO.: 2011-00178 <br /> 27�0 KELLEY PARKWAY <br /> � ORONO, MN 55356- �A7'E �ssuE�: 03/28/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 905 FERNDALE RD W <br /> PIN : 02-117-23-44-0010 <br /> LEGAL DESC : AUDITOR'S SUBD. NO. 184 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYNE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTNITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 60,000.00 <br /> NO"I'1=,: "fLAR OFI'RI-;ROOI=-CGDAR SI IAKI',S <br /> APPLICANT PERMIT FEE SCHEDULE 756.75 <br /> ALLSTAR CONSTRUC'I'ION STATE SURCHARGE(VALUATION) 30.00 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 TOTAL 786.75 <br /> MAPLE PLAIN, MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#: 20631575 <br /> OWNER <br /> BROOKS,JOHN&JOAN <br /> 905 FERNDALE RD W <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc��°ork for which this permit is issued shall bc perlornicd according to <br /> thc approvcd plans and specifications,applicablc City�approvals,and thc <br /> State L3uildinb Code. 'I�his pennit is lor oniti�the work described and docs <br /> not grant pennission tbr additional or related work�vhich requires separate <br /> , permits. All provisions of laws and ordinances govcrning this type of work <br /> � shall be compied�vith��hether or not specified hcrcin.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced���ithin I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time alter work has commenced. <br /> "I�he applicant is responsi If suring all required inspections are <br /> requc,� � 'n nfor � � �idi thc State Buildin�Codc.'I�his permi�may bc <br /> re� an tim � <br /> � ,,� � , ��� 5 i :�g i �`i �.i i // <br /> ,�"App icant Permitee Signature Date �Iss y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />