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� � • CITY OF ORONO PERMIT NO.: 2010-01104 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEv: 1 U09/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3580 LIVINGSTON AVE <br /> PIN : 17-117-23-43-0035 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT O15 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 5,000.00 <br /> APPLICANT pERMIT FEE SCHEDULE 118.00 <br /> BEGIN-ANDERSON,M ANDERSON&B STATE SURCHARGE(VALUATION) • 5.00 <br /> 3580 LIVINGSTON AVE TOTAL 123.00 <br /> WAYZATA,MN 55391- <br /> PAID WITH CC# 3604 <br /> OWNER <br /> BEGIN-ANDERSON,M ANDERSON&B <br /> 3580 LIVINGSTON AVE <br /> WAYZATA,MN 55391- <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 does <br /> not grant permission for additional or related work which requires sepazate <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 alI 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 /> I� �, v / , q , �o <br /> A plicant Per ee Signat e Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />