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/ • <br /> CITY OF ORONO PERMIT NO.: 2010-00365 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE�SSUED: OS/19/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1680 SHADYWOOD RD <br /> PIN : 17-117-23-21-0016 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 11,000.00 <br /> APPLICANT pERMIT FEE SCHEDULE 206.50 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.50 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 TOTAL 212.00 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#:20631574 <br /> OWNER <br /> DOLEMAN,JOHN <br /> 1680 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 work which requires separate <br /> permiu. All provisions of laws and ordinances governing this type of work <br /> shall 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 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 atany ti e r due caus <br /> � � � � ��d / / <br /> ' ant Permitee Si a Date Issued By Si ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />