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�- CITY OF ORONO PERMIT NO.: 2009-00841 <br /> , � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE 1SSUEn: 1U23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2732 CAROLINE AVE <br /> PIN : 20-117-23-24-0041 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1451 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-L7NDEFINED <br /> VALUATION : $ 25,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> SELA ROOFING&REMODEL[NG, INC. STATE SURCHARGE(VALUATION) 12.50 <br /> 4100 EXCESIOR BLVD <br /> ST. LOUIS PARK,MN 55416- MISC FEE 0.00 <br /> (952)915-7227 TOTAL 425.50 <br /> Minnesota State License#: 0001050 <br /> OWNER <br /> PERCIVAL, CHARLES& SUSAN <br /> 2732 CAROLINE AVE <br /> WAYZATA,MN 55391- <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 no[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 applican[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 /> ��/�� �� /i /a5 /'�?� j�yyt�1 / l <br /> Applicant Pe tee ignature Date Issued By Si nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV` . <br />