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d � <br /> CITYOFORONO * ZpJ 12 — PJ (d579 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/2U2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3570 NORTH SHORE DR <br /> PIN : 08-117-23-34-0019 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,000.00 <br /> NOTE: VALUATION OF PERMIT:$6,000.00 <br /> ROOFING PERMITS ISSUED WITHOUT ENOUGH NOTICE FOR TEAR OFF INSPECTIONS. (WE REQUIRE 2448 NOTICE,PRIOR TO <br /> WORK BEING STARTED) MUST PROVIDE COMPLETE SET OF PICTURES OR A FINAL INSPECTION MAY NOT BE ISSUED. <br /> SIGNS-ADVERTISING SIGNS MAY ONLY BE ON THE PROPERTY DURING THE TIME THE ROOF IS BEING DONE. <br /> ONCE WORK IS COMPLETED THE SIGNS MUST BE REMOVED. <br /> APPLICANT pERMIT FEE SCHEDULE 132.75 <br /> HARRIS ROOFING INC STATE SURCHARGE(VALUATION) 3.00 <br /> 150 EATON STREET <br /> ST PAUL,MN 55109- MAIL-IN FEE 2.00 <br /> (651)776-4400 TOTAL 137.75 <br /> Minnesota State License#:CR197576 PAID WITH CC# 4495 <br /> OWNER <br /> LUTZ,THOMAS&MARYLOU <br /> 258 CYGNET PL <br /> LONG LAKE,MN 55356- <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 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 I80 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 /> revoked at any time for due cause. <br /> ���2�a�.F��� �P� � �/c� �,a i ,i�. <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />