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� CITY OF ORONO PERMIT NO.: 2010-01110 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE iSSUEn: 1U10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 730 DICKEY LAKE DR <br /> PIN : 34-118-23-22-0004 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILD[NG -UNDEF[NED <br /> VALUATION : $ 21,000.00 <br /> NOTE: "I'EAR OFF REROOF-CEDAR SHAKES <br /> APPLICANT PERMIT FEE SCHEDULE 354.00 <br /> ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 10.50 <br /> 5565 QUAM AVE NE <br /> ST MICHAEL, MN 55376- TOTAL 364.50 <br /> (763)550-0444 <br /> Minnesota State License#: 20172153 <br /> OWNER <br /> ANDERSON,TROY&CATHERINE <br /> T0 DICKEY LAKE DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall be perlormed according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or rclated work which requires separate <br /> pennits. All provisions ot�laws and ordinances goveming this type ofwork <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorizcd 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 responsibic for assuring all required inspcctions are <br /> requested in conformancc with the tate E3uilding Code.This permit may be <br /> revoked at an t��f ue cau� . <br /> - , ;�,�, ,��, �v <br /> � � , �o, �v <br /> plicant Permrtee Signalur Datc Is. By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />