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� CITY OF ORONO PERMIT NO.: 2011-00400 <br /> ' 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: OS/3U2011 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1367 NORTH ARM DR <br /> PIN : 07-117-23-41-0065 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 013 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACT[VITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 7,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> PAR CORP STATE SURCHARGE(VALUATION) 3.50 <br /> 6393 82ND ST NE <br /> MONTICELLO, MN 55362- MISC FEE 0.00 <br /> (763)238-7717 TOTAL 151.00 <br /> Minnesota State License#: 20636796 PAID WITH CC# 3229 <br /> OWNER <br /> THEISEN, LINDA <br /> 1367 NORTH ARM DR <br /> MOLJND, MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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 separate <br /> permits. All provisions of laws and ordinances goveming this type of wark <br /> shall be compied with whether or not s ified herein.This permit will <br /> expire and become null and void if c struction authorized is n�t <br /> commenced within 180 days of d date of issuance,or if co fruction is <br /> suspended for a period of 180 ys at any time after wo ias commenced. <br /> The applicant is responsible or assuring all requir mspections are <br /> requested in conformance ith the State Build Code.This permit may be <br /> revoked at a y time foy ue cause. <br /> ' . / � � 31 � !l <br /> / / <br /> Applicant Per rtee Signatu Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T AN DESCRIBED AB <br />