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� T .• CITY OF ORONO PERMIT NO.: Zoiaoio3s <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3705 NORTH SHORE DR <br /> PIN : 17-117-23-21-0011 <br /> LEGAL DESC : SHADY-WOOD <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 : $ 8,000.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 <br /> 5145 INDUSTRIAL ST TOTAL 167.25 <br /> SUITE 103 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#:20631575 <br /> OWNER <br /> ROGERS,GAIL <br /> 3705 NORTH SHORE DR <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 wnstruction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requ sted in conformance with the State Building Code.This permit may be <br /> revo at ti e fo e cause. <br /> � � � � �� ��.-� /oi ao, �o <br /> Applicant Pe itee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />