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CITY OF ORONO PERMIT NO.: 2011-00561 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/30/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 999 WILDHURST TR <br /> PIN : 07-117-23-21-0005 <br /> LEGAL DESC : UNPLATTED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,200.00 <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> GUARDIAN CONSTRUCTION STATE SURCHARGE(VALUATION) 4.60 <br /> 310 98TH LANE NW <br /> COON RAPIDS,MN 55433- MISC FEE 0.00 <br /> (763)398-4610 TOTAL 196.35 <br /> Minnesota State License#:20635170 PAID WITH CC# 2931 <br /> OWNER <br /> GRAY,MIKE&DIANE <br /> 999 WILDHURST TR <br /> MOUND,MN 55364- <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 responsi.le for. uring all required inspections are <br /> requested in co 'orm.• e wi.- 1 e ate Building Code.This permit may be <br /> revoked at.• tim '(r d : cause. <br /> 1 ' -'�ermitee Signature Date Issue 4:y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />