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CITY OF ORONO PERMIT NO.: 20��-oos4o <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUED: 06/28/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 550 PARK LA <br /> PIN : 06-117-23-41-0099 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 007 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> VALUATION : $ 12,837.00 <br /> APPLICANT pERMIT FEE SCHEDULE 233.59 <br /> HOME DEPOT AT HOME SERVICES STATE SURCHARGE(VALUATION) 6.42 <br /> 2690 CUMBERLAND PKWY SUITE 30 <br /> ATLANTA,GA 30339- MISC FEE 0.00 <br /> Minnesota State License#:20268257 TOTAL 240.01 <br /> OWNER <br /> DUENOW,KAREN �nn�S <br /> 550 PARK LA <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 dces <br /> not grant permission 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 permit will <br /> expire and become null and void if consWction 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 aRer 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 /> �l��.� GYL l l l l <br /> Applicant Permitee Signature Date I s s u e d B y n a t u r e D a t e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />