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; <br /> t <br /> i <br />) <br />:� CITY OF ORONO rExMiT No.: 2011-00423 <br />' � 2750 KELLEY PARKWAY <br />,, � <br />� ' ORONO,MN 55356- DATE ISSUED: 06/06/2011 <br />` 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 250 HOLLANDER RD <br /> PIN : 25-118-23-44-0014 <br />. LEGAL DESC : HOLLY ACRES 3RD ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br />� COPISTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 14,000.00 <br /> APPLICANT pERMIT FEE SCHEDULE 250J5 <br /> 'MIDWEST ROOFING STATE SURCHARGE(VALUATION) 7.00 <br /> 6541 SYCAMORE CT N <br /> MAPLE GROVE,MN 55369- MISC FEE 0.00 <br /> (763)427-9696 TOTAL 257.75 <br /> Minnesota State License#:20637010 <br /> OWNER <br /> BRADLEY,R JEPPSON&L <br /> 250 HOLLANDER RD <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORPi 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 Building 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 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 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 commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked a 'me for due cause. � / � / �� <br /> / / <br /> Appl' ant Permitee Signature Date Issued By Si ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB E. <br />