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� � <br /> CITY OF ORONO PERMIT NO.: 2011-00520 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �SSUED: 06/27/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3420 HIGH LA <br /> PIN : OS-117-23-12-0026 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BU[LDING-UNDEFINED <br /> VALUATION : $ 6,500.00 <br /> NOTE: TF,AR OFF REROOF HOUSE AND GARAGE <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 325 <br /> 6541 SYCAMORE CT N TOTAL 150.75 <br /> MAPLE GROVE, MN 55369- <br /> (763)427-9696 <br /> Minnesota State License#: 20637010 <br /> OWNER <br /> WOLVERTON, WESLEY& ELIZABETH <br /> 3420 HIGH LA <br /> LONG LAKE, MN 55356- <br /> ACREEMENT 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 E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed 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 no[ <br /> commcnced within I 80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked t rry t� e fo due cause. <br /> � �� a�� �� �i �i ! <br /> Applicant Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />