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CITY OF ORONO PERMIT NO.: 2010-00221 <br /> • 2750 KELLEY PARKWAY <br /> r ORONO, MN 55356- �ATE IssuE�: 04/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1151 NORTH ARM DR <br /> PIN : 07-117-23-14-0052 <br /> LEGAL DESC : SKARP&LINDQUISTS FERNHILL LA <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 /> VALUAT[ON : $ 1,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 41.25 <br /> DAHM, TED STATE SURCHARGE(VALUATION) 0.50 <br /> 1151 NORTH ARM DR <br /> MOLJND, MN 55364- TOTAL 41.75 <br /> PAID WITH CASH 41.75 <br /> OWNER <br /> DAHM,TED <br /> 1151 NORTH ARM DR <br /> MOLIND, MN 55364- <br /> AGREEMENT AIYD SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only thc 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 speciYied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I 80 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 assurin equired inspections are <br /> requested in conformance with the S te Buil �ng Code.This permit may be <br /> revoked at any time for due cause. . <br /> G �'r..� . `r �C'��'� y�� ,��' <br /> Applicant Permitee Signature Date � � <br /> Issued By ❑ature � Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB E. <br />