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� CITY OF ORONO PERMIT NO.: 2011-00392 <br /> � � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE [Ssu�n: OS/25/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1755 FOX ST <br /> PIN : 03-117-23-44-0008 <br /> LEGAL DESC : FOX ISLAND <br /> : LOT 4 � BLOCK 1 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOF[NG -ASPHALT <br /> ACTIVITY : O/S BUILDING - LJNDEFINED <br /> VALUATION : $ 5,275.00 <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> ERNST ENTERPRISES LLC STATE SURCHARGE(VALUATION) 2.64 <br /> PO BOX 457 <br /> WATERTOWN, MN 55388- M[SC FEE 0.00 <br /> (612)210-7891 TOTAL 135.39 <br /> Minnesota State License#: 20630424 PAID WITH CC# 7292 <br /> OWNER <br /> ABUKHADRA, HASHEM <br /> 1745 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work Yor which this permit is issued shall be performed according[o <br /> the approved plans and specitications,applicable City approvals,and the <br /> State I3uilding Coda 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[his type of�i�ork <br /> shall be compied with whether or no[specitied 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 conunenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confonnance with the State Building Code.This permit may be <br /> revoked at any time fo e cause. <br /> � �(.�/� �� � � � <br /> Applicant Permitee Signature Date Issued By i nature � <br /> ! SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCR[BED A O <br /> i � <br /> 1 ' <br />