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CITY OF ORONO PERMIT NO.: 20�0-00�9� <br /> 2750 KELLEY PARKWAY <br /> ! � ORONO, MN 55356- DATE ISSUED: 04/07/2010 <br /> v 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 215 HOLLANDER RD <br /> PIN : 25-118-23-44-OO13 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 25,200.00 <br /> APPLICANT PERMIT FEE SCHEDULE 423.75 <br /> PERSONAL PRIDE CONSTRUCTION STATE SURCHARGE(VALUATION) 12.60 <br /> 421 FRANCE AVE N TOTAL 436.35 <br /> GOLDEN VALLEY, MN 55422- <br /> (763)535-4947 <br /> Minnesota State License#: 20330460 <br /> OWNER <br /> MCKEEVER, BLAIR <br /> 215 HOLLANDER RD <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[3uilding 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 goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and c me null a d oid if construction authorized is not <br /> commence wi in 180 ays f the date of issuance,or if consiruction is <br /> suspended or period f 18 days at any time after work has commenced. <br /> The appli nt i respo sibl for assuring ail required inspections are <br /> requeste in c nform�nce ith the State Buiiding Code.This permit may be <br /> revoked t y time or e cause. �� �� " � <br /> -, �'�.�1 � , `- % � <br /> ,�vy=� � � �� � -LE Ch�2 Gr G? � � <br /> Applicant Perm' ee Signature Date Issued By Sign ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />