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w <br /> � � CITY OF ORONO PERMIT NO.: 2010-00980 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/1U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2550 SIXTH AVE N <br /> PIN : 28-118-23-41-0005 <br /> LEGAL DESC : WILLOW RUN <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,316.92 <br /> NOTE: `I'EAR OFF REROOF-ASPHALT SHINGLGS <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> CUSTOM CREATIONS REMODELING STATE SURCI-IARGE(VALUATION) 5.00 <br /> 1321 ANDOVER BLVD NE <br /> SUITE l 12 TOTAL 196.75 <br /> ANDOVER, MN 55304- <br /> (763)441-5907 <br /> Minnesota State License#: 20586285 <br /> OWNER <br /> RICE, EDWARD&TERESA <br /> 2550 SIXTH AVE N <br /> LONG LAKE, MN 55356 <br /> i <br /> � AGREEMENT AND SWORN S�ATEMENT <br /> 'I'he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicabJ�'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 ofwork <br /> shall be compicd 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 thc date of issuance,or if construc[ion is <br /> suspended for a period of 180 days at any[ime 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 /> revo' at cause. <br /> /� ' ���'�� � ��i // i /� <br /> pplicant Permitee Signature Date Iss e y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />