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CITY OF ORONO * Z 0 1 6 - 0 0 5 9 2 * <br /> � • � 2750 KELLEY PARKWAY DATE ISSUED: OS/3ll2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 77 FERNDALE RD N <br /> PIN : 36-118-23-44-0006 <br /> LEGAL DESC : ALLO-RAE TERRACE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : CHIMNEY-REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 4,000.00 <br /> NOTE: REBU[LD CHIMNEY&REPLACE CAP <br /> APPLICANT PERMIT FEE SCHEDULE 108.38 <br /> PLAN REVIEW 70.45 <br /> SELA ROOF[NG&REMODELING, INC. STATE SURCHARGE(VALUATION) 2.00 <br /> 4100 EXCESIOR BLVD <br /> ST. LOUIS PARK, MN 55416- TOTAL 180.83 <br /> (952)915-7227 Payment(s) <br /> Minnesota State License#: BUIL-BC1050 CHECK 37038 180.83 <br /> OW1vER <br /> KNABENSHUE, PAUL&ALYCIA <br /> 75 FERNDALE RD.N <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 not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 appiicant is responsible for assuring all required inspections are <br /> requested in conformance with the S uilding Code.This permit may be <br /> revoked at any time for due se. _ ��,��� <br /> � � � <br /> ���f�C� ������ � � ��� � ���� �7 ��7 I � � � <br /> App icant ermitee Signature Date Issued By Signature Date <br />