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f w <br /> CITY OF ORONO PERMIT NO.: 20��-oosoo <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/2U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4320 SIXTH AVE N <br /> PIN : 31-118-23-12-0009 <br /> LEGAL DESC : SHARON HILLS <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 : $ 9,000.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT pERMIT FEE SCHEDULE 177.00 <br /> NEW EXTERIORS BY SMA INC STATE SURCHARGE(VALUATION) 4.50 <br /> 10701 93RD AVE N,SUITE E <br /> MAPLE GROVE,MN 55311- MAIL-IN FEE 2.00 <br /> (763)315-8900 TOTAL 183.50 <br /> Minnesota State License#:20593875 PAID WITH CC# 6533 <br /> OWNER <br /> DETERMAN,MR.&MRS. <br /> 4320 SIXTH AVE N <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 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 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 ause. <br /> f�� eZ/� // � � o2J � /l <br /> Ap ' ant Permitee Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />