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t _ <br /> CITY OF ORONO PERMIT NO.: 2009-00779 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 11102/2009 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 525 ORCHARD PARK RD <br /> PIN : 31-118-23-14-0002 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 11,420.00 <br /> NOTE: TEAR OFF AND RE ROOF HOUSE AND GARAGE <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> CAPSTONE BROS.CONTRACTING INC STATE SURCHARGE(VALUATION) 5.71 <br /> 216 N.RIVER RIDGE CR. <br /> BURNSVILLE,MN 55337- TOTAL 226.96 <br /> (952)882-8888 PAID WITH CC# 8955 <br /> Minnesota State License#:20609967 <br /> OWNER <br /> AL,RANDALL WEESTRAND ET <br /> 525 ORCHARD PARK RD <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 governing 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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revs d at an time for due cause. <br /> A. itee Signature Date Issued By Mature �� Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABA E. <br />