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CITY OF ORONO * z 0 1 4 - 0 0 7 1 5 * <br /> �, 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 800 FOREST ARMS LA <br /> PIN : 07-117-23-12-0004 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MWORALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATIOIY : $ 16,000.00 <br /> NO"I'G: VALUA"I'ION Ol'PGRMIT:$16,000.00 <br /> ROOFING PEI2M1'I'S ISSUED WI"1'HOIJT ENOUGH NO��ICE FOR TEAR Ot�F INSPEC'I'IONS. (WE RF,QUIRL 24-48 NO'I'ICE,PRIOR TO <br /> WORK BEING STARTGD) MUS"I�PROVIDE COMYLE7�E SET OF PICTURL'S OR A FINAL INSPEC"1'ION MAY NOT BI:ISSUED. <br /> SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME Tt IE ROOF IS E3EING DONE. <br /> ONCE WORK IS COMPLGTED TFfE S[GNS MUST BG RGMOVGD. <br /> APPLICANT PERMIT FEE SCHEDULE 280.25 <br /> STATE SURCHARGE(VALUATION) 8.00 <br /> A 1 RESTORATION <br /> 4720 XENE LN TOTAL 288.25 <br /> PLYMOUTH, MN 55446- Payment(s) <br /> Minnesota State License#: BUIL-BC680725 LHECK 5104 288.25 <br /> OWNER <br /> MAYES, CLIFFORD A& BRENDA L <br /> 800 FOREST ARMS LA <br /> MOUND, MN 55364- <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[3uilding Code. This permit is Yor only the work described and docs <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 hercin.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 ot� 180 days at any time after work has conunenced. <br /> The applicant is responsible for assuring all required inspecfions are <br /> requested in confonnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �i 7 �'� -----------___' / / <br /> n plicant ermitec Signature Date Issucd I3 ,ignature Date <br />