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CITY OF ORONO PERMIT NO.: 2011-00472 <br /> 4 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE 1SSUEn: 06/16/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1140 NORTH ARM DR <br /> PIN : 07-117-23-14-0061 <br /> LEGAL DESC : UNPLATTED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 5,433.00 <br /> NOTE: REROOF GARAGE ONLY! <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> J. ROBERT ROOFING LLC STATE SURCHARGE(VALUATION) 2.72 <br /> 17180 MALLARD CT TOTAL 135.47 <br /> EDEN PRAIRIE,MN 55346- <br /> Minnesota State License#: 20544370 PAID WITH CC# 3624 <br /> OWNER <br /> BRO, TIMOTHY <br /> 1140 NORTH ARM DR <br /> MOUND, MN 55364 <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 rela[ed work which requires separate <br /> permi[s. 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 /> requested in conformance with the State Building Code.This permit may be <br /> revok at any time for due cause. ; <br /> �rL� <br /> � � l/� l l( ��t�C._C � (r�-�CC���i � ( .. �� _// <br /> App nt Permitee Signature Date Issued By Signatwe Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />