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CITY OF ORONO PERMIT IVO.: 2011-00287 <br /> � 2750 KELLEY PARKWAY <br /> , ORONO, MN 55356- DATE ISSUED: OS/04/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 766 BRIDGEWATER DR <br /> PIN : 33-118-23-11-0109 <br /> LECAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT 014 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: T�AR OPF AND RLROOF <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 <br /> 6541 SYCAMORE CT N <br /> MAPLE GROVE, MN 55369- TOTAL 166.25 <br /> (763)427-9696 <br /> Minnesota State License#: 20637010 <br /> OWNER <br /> PETERSON, LEE& DARLENE <br /> 766 BRIDGEWATER DR <br /> LONG LAKE, MN 55356- <br /> ACREEMEIVT AND SWORN STATEMENT <br /> 7�he���urk for which this pennit is issucd shall be perfonned according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State F3uilding 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�vith whether or not specified hcrein.This permit�vill <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 conunenced. <br /> "I'he applicant is responsible ibr assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked t rry time for due cause. <br /> 5 � �T � lr � � <br /> Applicant Pennitee Signature Date Issued By Si ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />