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CITY OF ORONO PERMIT NO.: 2009-00686 <br /> '+ 2750 KELLEY PARKWAY <br /> " ORONO, MN 55356- DATE ISSUED: 10/28/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> AQDRESS : 4305 CHIPPEWA LA <br /> PIN : 31-118-23-42-0011 <br /> LEGAL DESC : CHIPPEWA <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 250.00 <br /> NOTE: REPLACING DEFEC'I'IVE SHINGLES <br /> APPLICANT PERMIT FEE SCHEDULE 25.00 <br /> CORNICK,JAMES&DEBRA STATE SURCHARGE(VALUATION) 0.50 <br /> 4305 CHIPPEWA LA TOTAL 25.50 <br /> MAPLE PLAIN,MN 55359- <br /> OWNER <br /> CORNICK,JAMES&DEBRA <br /> 4305 CHIPPEWA LA <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is iss�ed 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 describeJ 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 cons[ruction 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 afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> req ested in conformance with the State Building Code.This permit may be ��� <br /> revo d a[any ti f r due cause. / <br /> d'�� �`"��Z��C � <br /> I� � `6 � �.�� � c�--�c��� � � <br /> Applic Permitee Signature ate Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />