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,� , CITY OF ORONO PERMIT NO.: 2009-00864 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 12/OU2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3150 RIDGEWOOD CIR <br /> PIN : 04-117-23-23-0022 <br /> LEGAL DESC : ROUTSON ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 8,750.00 <br /> NOTE: TEAR OFF AND REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> NORDKAP CONSTRUCTION LLC STATE SURCHARGE(VALUATION) 4.38 <br /> 1881 STATION PARKWAY TOTAL 181.38 <br /> ANDOVER,MN 55304- <br /> (763)607-4845 <br /> Minnesota State License#: 20635312 <br /> OWNER <br /> EFIGENIO, BARTOLO&MARIA <br /> 3150 RIDGEWOOD CIR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifica[ions,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 wi[h whe[her 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �� � � Z � � � � � e , � <br /> Applicant Permitee Signature Date � I ed B Si nature Dat� � <br /> Y g <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />