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, , CITY OF ORONO PERMIT NO.: 2009-00433 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUE�: 07/28/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 560 DEBORAH DR <br /> PIN : 31-118-23-23-0005 <br /> LEGAL DESC : MCCULLEY FARM <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ADDIT[ON/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : O/S BU[LDING-UNDEFINED <br /> VALUATION : $ 3,800.00 <br /> NOTE: REPAIR EXISITNG CHIMNEY <br /> APPLICANT PERMIT FEE SCHEDULE 103.25 <br /> SELA ROOFING& REMODELING, INC. STATE SURCHARGE(VALUATION) 1.90 <br /> 4100 EXCESIOR BLVD <br /> ST. LOUIS PARK,MN 55416- TOTAL 105.15 <br /> (952)915-7227 <br /> Minnesota State License#: 0001050 <br /> OWNER <br /> LUTH, W&MARCOUX <br /> 560 DEBORAH DR <br /> MAPLE PLAIN, MN 55359 <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 l80 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 /> revoke ny time o ue cause. <br /> � �' a� '��' � � � <br /> A lica Per it 'g ture Date I s ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />