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CITY OF ORONO PERMIT NO.: 2010-00727 <br /> . 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUEn: 08/18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2095 SALEM CT <br /> PIN : 27-118-23-34-0007 <br /> LEGAL DESC : DICKEY LAKE ADDN <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILDING-UN FINED <br /> VALUATION : $ 42,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 595.75 <br /> TIMBERLINE EXTERIORS, INC. STATE SURCHARGE(VALUATION) 21.00 <br /> 7026 E FISH LAKE ROAD <br /> MAPLE GROVE, MN 5531 I- MISC FEE 0.00 <br /> (651)329-6916 TOTAL 616J5 <br /> Minnesota State License#: 20633887 <br /> OWNER <br /> KATAYOUN MOHAMMAD-ZADEH,PAUL BIEGANSKI/ <br /> 2095 SALEM CT <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd 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 goveming this type of work <br /> shall be compied with whether or no[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 I 80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confor nce with the State Building Code.This permit may be <br /> revoked at an ti for due c u . <br /> � � � (;L� / / � <br /> / / <br /> Ap a e itee ign e Date Issued By g ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />