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CITY OF ORONO PERMIT NO.: 2oos-oo320 <br /> 2750 KELLEY PARKWAY <br /> .�'� ORONO, MN 55356- DATE IssuED: 10/22/2008 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 290 HOLLANDER RD <br /> PIN : 25-118-23-43-0011 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> VALUATION : $ 17,580.00 <br /> APPLICANT PERMIT FEE SCHEDULE 309.75 <br /> GRUSSING ROOFING <br /> 4305 SHADY OAK RD STATE SURCHARGE(VALUATION) 8.79 <br /> HOPKINS, MN 55343 TOTAL 318.54 <br /> Minnesota State License#: 9212 <br /> OWNER <br /> MAHAFFY, DALE& SUSAN <br /> 290 HOLLANDER RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <br /> the approved pians and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not gran[permission for additional or related work which requires sepazate <br /> permits. Ail 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 no[ <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 are <br /> requested in conformance with t e tate Building Code.This permit may be <br /> revoked� any time for due ca <br /> ��' L� �� ��)._��,_� , ��7�'�� !O i .2,2 / 4 <br /> A licant ermitee Signature Date Issued By ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE BOVE. <br />