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* , � CITY OF ORONO PERMIT NO.: 200&00270 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/03/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 715 FERNDALE RD N <br /> PIN : 36-118-23-11-0017 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1031 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 13,000.00 <br /> NOTE: <br /> REROOF TEAR/OFF HOUSE AND GARAGE <br /> APPLICANT PERMIT FEE SCHEDULE 236.00 <br /> SELA ROOF[NG& REMODELING, INC. STATE SURCHARGE(VALUATION) 6.50 <br /> 4100 EXCES[OR BLVD. <br /> MN 55146- TOTAL 242.50 <br /> (952)915-7227 <br /> Minnesota State License#: 0001050 <br /> OWNER <br /> LYMAN, RICHARD <br /> 715 FERNDALE RD N <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. "Chis permit is for only the work described and does <br /> not gran[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 compicd with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commcnced 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 responsible for assuring all required inspections are <br /> reques[ed in conformance wi[h the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> ' /"_ �y7�(�., � ,1�'l 3 / a� <br /> App icl ant Permitee i ture� Date 1 d By Signature �� Date ��� <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />