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� CITY OF ORONO PERMIT NO.: 2011-00453 <br /> ti 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEu: 06/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 480 RUSSELL AVE <br /> PIN : 02-117-23-31-0003 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 307 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING -LINDEFINED <br /> VALUATION : $ 10,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 191 JS <br /> KENNEDY CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 <br /> 17205 24TH AVE N TOTAL 196.75 <br /> PLYMOUTH, MN 55447- <br /> (612)978-7859 PAID WITH CC# 6148 <br /> OWNER <br /> CARPENTER,N[CKY&JOSEPHINE <br /> 480 RUSSEL AVE <br /> WAYZATA, MN 55391-0659 <br /> AGREEMENT AND SWORN STATEMENT <br /> "i'he work for which this permit is issued shall be performed according to <br /> lhe approved plans and specifications,applicable City approvals,and the <br /> Slate Building Code. This pennit 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 wark <br /> shall be compied with whether or not specitied herein.'1'his 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 applican[is responsible for assuring all required inspections are <br /> requested in c formance� 'h the State Building Code.This permit may be ,r7� <br /> revoked at time or cause. /l <br /> / / ,�i_�.-�� ( ���'Y�l i ''� / t�' ^�.� � <br /> Applic t Permite Signa ure Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />