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� <br /> CITY OF ORONO PERM�T�vo.: 2oio-oo�i6 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuEu: 08/17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2015 SALEM CT <br /> PIN : 27-118-23-34-0009 <br /> LEGAL DESC : DICKEY LAKE ADDN <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 31,952.46 <br /> APPLICANT <br /> FOSS EXTERIORS LLC PERMIT FEE SCHEDULE 488.25 <br /> 1891 SANDBAR CIRCLE STATE SURCHARGE(VALUATION) 15.98 <br /> WACONIA, MN 55387 TOTAL 504.23 <br /> (612)229-8619 <br /> Minnesota State License#: 20438042 <br /> OWNER <br /> KLEINSCHMIDT, DONALD& MYR[NA <br /> 2015 SALEM CT <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 specifications,applicable City approvals,and the <br /> State[3uilding 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 /> shali 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 ibr a period of 180 days at any time after wark has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in nce with the State Building Code.This permit may be <br /> revoked• any time � r ue cause. � i�" _ �, ��:' <br /> � '�' � � �'� (u-t''] <br /> ., ,, � �� „ <br /> , <br /> `'___— U� l l 7 / c=-t".%;� t � �. _. � _� __� � <br /> Applicant Permitee Signaturc Date Issued 13y Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />