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' ti <br /> CITY OF ORONO PERMIT NO.: 2010-00984 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1710 SHADYWOOD RD <br /> PIN : 17-117-23-21-0018 <br /> LEGAL DESC : SHADY-WOOD <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 33,500.00 <br /> NOTE: TEAR OFF REROOF-CEDAR SHAKES <br /> APPLICANT pERMIT FEE SCHEDULE 509.75 <br /> GATES GENERAL CONTRACTORS STATE SURCHARGE(VALUATION) 16.75 <br /> 3500 VICKSBURG LANE N TOTAL 526.50 <br /> PLYMOUTH,MN 55447- <br /> Minnesota State License#: 6793 <br /> OWNER <br /> FITZPATRICK,JOHN&JOAN <br /> 1710 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,applicabie 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 sepazate <br /> permits. All provisions of laws and ordinances goveming 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 /> request ' conformance with the State Building Code.This permit may be <br /> revoke at y ti e for due cause. <br /> �_... ��� ,L � ,G �a� ia�---/a <br /> A plic t Permitee Signature Date I d By ignatu e Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />