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f . t CITY OF ORONO PERMIT 1Y0.: 2009-00678 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEu: 10/06/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 22 HACKBERRY H[LL <br /> PIN : 33-118-23-44-0027 <br /> LEGAL DESC : DANIELS LONG LAKE HEIGHTS <br /> : LOT 008 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 1,600.00 <br /> NOTE: <br /> TEAR OFF/REROOF. PARTIAL COST OP THE SHINGLES WILL BE PAID FOR E3Y THE COMPANY THAT HAD ORIGINALLY SUPPLIED <br /> "I�HEM AT THG TIME THE ROOF WAS REPLACED. TI IIS VALUATION IS THE COST LEFT TIiAT[S THE HOMEOWNERS <br /> RESPONSIBILITY. <br /> APPLICANT PERMIT FEE SCHEDULE 60.75 <br /> ERNHART, M& T STATE SURCHARGE(VALUATION) 0.80 <br /> 22 HACKBERRY HILL <br /> LONG LAKE, MN 55356 TOTAL 61.55 <br /> PAID WITH CC# 4152 <br /> OWNER <br /> ERNHART, M& T <br /> 22 HACKBERRY H1LL <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc 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 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requeste in conformance with the State Building Code.This pennit may be <br /> revol� t any time tbr due ca ' - <br /> � ^,.1 � ����ti-"`_k�l �l/ l � <br /> / / <br /> npplicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />