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CITY OF ORONO PERMIT NO.: 2oii-oos�s <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 06/28/2011 <br /> , � (952) 249-4600 FAX: (952) 249-4616 <br /> < <br /> ADDRESS : 400 LEAF ST <br /> PIN : 04-117-23-23-0010 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 030 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 21,500.00 <br /> APPLICANT PERMIT FEE SCHEDULE 368.75 <br /> SIMON CONSTRUCTION STATE SURCHARGE(VALUATION) 10.75 <br /> 12366 RIVER RIDGE ROAD <br /> BURNSVILLE, MN 55337- TOTAL 379.50 <br /> (612)861-7000 <br /> Minnesota State License#: 20593656 <br /> OWNER <br /> TURKULA, LOUISE <br /> 101 WHITEGATE LN <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <br /> the approved plans and specifications,applicable City approvals,and the <br /> Sta[e 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 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 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 /> �re ��rrconformanc rth the State Building Code.This permit may be <br /> rev� o d at a time fo� �c�use. �J <br /> '' CG`'/����(�,� � /�/�� �� �"� lTYiil t.r �'� / �j� �Q ��� <br /> Applicant Permitee S gnature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />