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CITY OF ORONO PERMIT NO.: 2010-00991 <br /> ' � �' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 10/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1035 LOMA LINDA AVE <br /> PIN : 08-117-23-23-0023 <br /> LEGAL DESC : LOMA LINDA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 7,300.00 <br /> NOTE: TEAR OFF REROOF-ASPHALT SHINGLES <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> SIGNATURE HOME SERVICES STATE SURCHARGE(VALUATION) 5.00 <br /> 713 E MINNEHAHA AVE #218 TOTAL 167.25 <br /> SAINT PAUL,MN 55108- <br /> (651)731-1147 <br /> Minnesota State License#:20396508 <br /> OWNER <br /> BROWN,R C BROWN&M A � <br /> 1035 LOMA LINDA AVE <br /> MOLJND,MN 55364 <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 dces <br /> not grant permission for additional or related work which requires sepazate <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 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 after work has commenced. <br /> The applica is responsible for assuring all required inspections aze <br /> requeste n onformance with tate uilding Code.This permit may be <br /> re . <br /> �a / �2 / c� /D� /� /l� <br /> cant Permitee Signature Date I d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />