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CITY OF ORONO PERMIT NO.: 20�o-oo6s3 <br /> � 2750 KELLEY PARKWAY <br /> s ORONO, MN 55356- DATE IssUEn: 08/09/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 585 FERNDALE RD N <br /> PIN : 36-118-23-11-0007 <br /> LEGAL DESC : LJNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING -LINDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: "I'EAR OFF REROOF <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> INTEGRITY HOME IMPROVEMENTS STATE SURCHARGE(VALUATION) 5.00 <br /> 11440 WEST LAKETOWNE DRIVE <br /> ALBERTVILLE, MN 55301- TOTAL 167.25 <br /> (763)670-2212 PAID WITH CC# 1382 <br /> Minnesota State License#: 20590843 <br /> OWNER <br /> DANIELSON, DANIEL D <br /> 585 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[o <br /> the approved plans and specifica[ions,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 da[e of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requeste in conformance wi the State Building Code.This permit may be <br /> revoke at ny time for due � � <br /> .\ `_ ,�� � , \ t� � /� <br /> Applicant Permitee Signature Dat�— " ' � �`-� <br /> Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />