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� CITY OF ORONO PERMIT NO.: 2010-00242 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE�ssuED: 04/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1670 SHADYWOOD RD <br /> PIN : 17-117-23-21-0015 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 50,000.00 <br /> NOTE: THIS PERMIT INCLUDES ROOFING, SIDING AND WINDOW REPLACEMENT <br /> APPLICANT PERM[T FEE SCHEDULE 681J5 <br /> ALLSTAR CONSTRUCT[ON STATE SURCHARGE(VALUATION) 25.00 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 TOTAL 706.75 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#: 3247 <br /> OWNER <br /> KIELLEY, DONALD&ARLENE <br /> 1670 SHADYWOOD RD <br /> WAYZATA, MN 55391 <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 wark 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 180 days at any time after work has commenced. <br /> The applicant is resp n ib�or assuring all required inspections are <br /> reques i o r a with the State Building Code.This permit may be <br /> revo ny e cause. <br /> � � / �-� / /Z '� <br /> Applicant rmitee Signature Date � �� � ��� �� <br /> I sue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />