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1 <br /> CITY OF ORONO PERMIT NO.: 2011-00519 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN SS35G- DATE ISSUED: 06/27/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3445 HIGH LA <br /> PIN : OS-117-23-12-0025 <br /> LEGAL DESC : N/A <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 : $ 6,000.00 <br /> NOTE: 'I�EAR OFF REROOF GARAGE AND HOUSE <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 3.00 <br /> 6541 SYCAMORE CT N <br /> MAPLE GROVE, MN 55369- TOTAL 135.75 <br /> (763)427-9696 <br /> Minnesota State License#: 20637010 <br /> OWNER <br /> BADEN, MICHEAL&JEANNIE <br /> 3445 HIGH LA <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> "�he work for which this permit is issued shall be perfonned according[o <br /> the approvcd plans and specifications,applicable City approvals,and the <br /> Statc[3uilding 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 goveming this rype of work <br /> shall bc 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days a[any time after work has commenced. <br /> 1'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke��d�at�ny time for ue cause. <br /> �i �,� �, �r , � , �. <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />