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CITY OF ORONO PERMIT NO.: 20o9-ooi23 <br /> � - 2750 KELLEY PARKWAY <br /> ` ORONO,MN 55356- DATE ISSUED: 03/26/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3533 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0045 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 004 BLOCK 004 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 3,800.00 <br /> NOTE: RE ROOF <br /> APPLICANT pERMIT FEE SCHEDULE 103.25 <br /> MARK OSBORNE CONSTRUCTION STATE SURCHARGE(VALUATION) 1.90 <br /> 1211 OLIVER AVE.N. MISC FEE 0.00 <br /> MINNEAPOLIS,MN 55411- <br /> (612)250-5060 TOTAL 105.15 <br /> Minnesota State License#:20143166 <br /> OWNER <br /> SANDLER,STEVEN&KATHRYN <br /> 3533 LIVINGSTON AVE <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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 at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />