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CITY OF ORONO PERMIT NO.: 2011-01166 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/04/2011 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 360 ORONO ORCHARD RD S <br /> PIN : 02-117-23-24-0006 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1349 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-OTHER <br /> VALUATION : $ 9,490.00 <br /> NOTE: TEAR OFF AND REPLACE EPDM ROOF SYSTEM <br /> VALUATION$9490.00 <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> OARLOCK-FRENCH ROOFING CORP STATE SURCHARGE(VALUATION) 4.75 <br /> 2301 EAST 25TH STREET <br /> MINNEAPOLIS,MN 55406- MAIL-IN FEE 2.00 <br /> (612)722-7129 TOTAL 198.50 <br /> Minnesota State License#:0001423 <br /> OWNER <br /> OSBORNE, STEELE B <br /> 360 ORONO ORCHARD RD S <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 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 /> revoked at any time for due cause. <br /> 71/t 421,t <br /> Applicant Permitee Signature Date Issue. .y S' ature 11 ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER t •N DESCRIBED AB tr . <br />