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'� �1 CITY OF ORONO PERNIIT NO.: 2oos-oo229 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/22/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4205 NORTH SHORE DR <br /> PIN : 07-117-23-43-0004 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT 002 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,000.00 <br /> NOTE: BOAT HOUSE-RESIDE AND REROOF-APPROVAL BY EVELYN T-09/19/08 <br /> APPLICANT pERMIT FEE SCHEDULE 73.75 <br /> HIGHMARK BUII,DERS,INC. STATE SURCHARGE(VALUATIOl� 1.00 <br /> 122371�TICOLLET AVE S TOTAL 74.75 <br /> BURNSVILLE,MN 55337 <br /> OWNER <br /> PETERSON,MARY JO <br /> 4205 NORTH SHORE DR <br /> MOLJND,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 perntission 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 pern►it will <br /> eupire 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 aze <br /> requested in nformance with the State Building Code.This permit may be <br /> v y time for due cause. <br /> �3 /aa l v� y /v�� D � <br /> p icant Permitee Signature Date Iss d By Signatttre Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. <br />