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CITY OF ORONO PERMIT NO.: 2010-00684 <br /> 2750 KELLEY PARKWAY <br /> 1 '' ORONO, MN 55356- DATE ISSUED: 08/1 U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 755 FERNDALE RD N <br /> PIN : 36-118-23-11-0028 <br /> LEGAL DESC : LYDIARD HILLS <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 48,000.00 <br /> NOTE: TEAR OFF CEDAR SHAKES AND REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 660.25 <br /> LADWALK INC <br /> 190 RYAN DR STATE SURCHARGE(VALUATION) ^ 24.00 -- <br /> UNIT B TOTAL 684.25 <br /> LITTLE CANADA,MN 55117- <br /> (651)490-5900 <br /> Minnesota State License#: 20578323 <br /> OWNER <br /> MITHUN,JEANNE <br /> 755 FERNDALE RD N <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pemiit 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 180 days at any time afrer 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 /> revoked at any time fo due cause. <br /> _�-11.L.-�. ,/ 1� G�c�l // /070�O � / / <br /> Applicant Permitee Signature Date Issued By �g ature - e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />