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CITY OF ORONO PERMIT NO.: 2009-00692 <br /> *� 2750 KELLEY PARKWAY <br /> '` ORONO, MN 55356- DATE ISSUED: 10/14/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 180 LEAF ST <br /> PIN : 04-117-23-22-0025 <br /> LEGAL DESC : SWAN LAKE 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 4,144.00 <br /> NOTE: TEAR OFF AND REROOF <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> GARLOCK-FRENCH ROOFING CORP STATE SURCHARGE(VALUATION) 2.07 <br /> 2301 EAST 25TH STREET <br /> MINNEAPOLIS,MN 55406- MAIL-IN FEE 2.00 <br /> (612)722-7129 TOTAL 122.07 <br /> Minnesota State License#:0001423 <br /> OWNER <br /> HEALEY,THOMAS <br /> 180 LEAF ST <br /> LONG LAKE,MN 55356- <br /> AGREEMENT 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 Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or�ot 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 are <br /> requested in conformance with�lie State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ` �, / / / / <br /> Applicant Permit�ture Date Issued a <br /> y ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER N DESCRIBED AB V . <br />