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CITY OF ORONO PERMIT NO.: 2011-01072 2750 KELLEY PARKWAY ORONO,MN 55356- DATE ISSUED: 09/19/2011 (952)249-4600 FAX: (952)249-4616 ADDRESS : 900 OLD LONG LAKE RD PIN : 35-118-23-14-0008 LEGAL DESC : UNPLATTED 35 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING-OTHER ACTIVITY : 0/S BUILDING-UNDEFINED VALUATION : $ 18,585.00 NOTE: VALUATION OF PERMIT: $18,585.00 TEAR OFF AND REROOF BACK FLAT ROOF APPLICANT PERMIT FEE SCHEDULE 324.50 LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 9.29 941 W 80TH STREET BLOOMINGTON,MN 55420- MAIL-IN FEE 2.00 (612)881-2241 TOTAL 335.79 Minnesota State License#:6560 PAID WITH CC# 9068 OWNER Okabena Company DAYTON,BRUCE B 1800 IDS CENTER MINNEAPOLIS,MN 55402- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 4/14 -gr /7/ 41A - 9'19 / Applicant Permitee Si ure Date Issue y Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.