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� �� <br /> CITY OF ORONO PERMIT NO.: 2008-00413 <br /> • . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1 U25/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3630 LIVINGSTON AVE <br /> PIN : 17-117-23-34-0027 <br /> LEGAL DESC : NAVARRO <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,300.00 <br /> APPLICANT PERMIT FEE SCHEDULE 88.50 <br /> INCL[NE ENTERPRISES INC STATE SURCHARGE(VALUATION) 1.15 <br /> 26175 B[RCH BLUFF RD TOTAL 89.65 <br /> SHOREWOOD, MN 55331 <br /> (612)471-9065 <br /> Minnesota State License#:20168831 <br /> OWNER <br /> PROCK,JASON <br /> 3630 L[VINGSTON AVE <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 Building Code. This permit is for only the work described and does <br /> not grant permission for additional or rela[ed 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 riod of 180 day ,at any time afrer work has commenced. <br /> The applicant is esponsi e for uring all required inspections are <br /> requested in co forman with t State ilding Code.This permit may be <br /> revoked at any ime for e cau <br /> , /� � .z� � <br /> Appl ant Pe itee Signature Date ��`� �Q�K� ��� �5� D � <br /> Issued�Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />