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CITY OF ORONO PERMIT NO.: 2010-01014 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4695 NORTH SHORE DR <br /> PIN : 07-117-23-32-0059 <br /> LEGAL DESC : TRISTANA COVE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> TIMBERLINE EXTERIORS,INC. STATE SURCHARGE(VALUATION) 5.00 <br /> 7026 E FISH LAKE ROAD <br /> MAPLE GROVE,MN 55311- MISC FEE 0.00 <br /> (651)329-6916 TOTAL 167.25 <br /> Minnesota State License#:20633887 <br /> OWNER <br /> WARD, STEPHEN&JOANNE <br /> 4695 NORTH SHORE DR <br /> MOUND,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 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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confonpance with the State Building Code.This permit may be <br /> revoked at y i fo a ca e. <br /> Ap a ee Sign a Date Issued By Si ture D e <br /> 41 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO14. <br />