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.. ` CITY OF ORONO PERMIT NO.: 2011-00542 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/28/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 400 OXFORD RD <br /> PIN : OS-117-23-41-0016 <br /> LEGAL DESC : STIELOWS ADDN <br /> : LOT 008 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 52,200.00 <br /> NOTE: TEAR OFF REROOF-CEDAR SHAKES <br /> APPLICANT pERMIT FEE SCHEDULE 704.25 <br /> LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 26.10 <br /> 941 W 80TH STREET TOTAL 730.35 <br /> BLOOMINGTON,MN 55420- <br /> (612)881-2241 PAID WITH CC# 9068 <br /> Minnesota State License#: 6560 <br /> OWNER <br /> ANDERSON,DAVID&LINDSAY <br /> 400 OXFORD 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 retated 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 construction authorized is not <br /> commenced within l80 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due caus <br /> C � � � �i �'l // <br /> Applicant Permitee Sign e Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />