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_, CITY OF ORONO PERMIT NO.: 2010-01101 <br /> f 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 1 U09/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 345 SPRING HILL RD <br /> PIN : 25-118-23-43-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1429 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 33,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 499.00 <br /> FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 16.50 <br /> 1891 SANDBAR CIRCLE <br /> WACONIA, MN 55387 TOTAL S15.50 <br /> (612)229-8619 <br /> Minnesota State License#: 20438042 <br /> OWNER <br /> MOECHNIG, DOUG &AMY <br /> 345 SPRING HILL RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall be performed according to <br /> thc 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 governing this type of work <br /> shall be compied with whether or not specitied herein."Chis 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 applica onsible for assuring all required inspections are <br /> requ in confor ance with the State Building Code.This permit may be <br /> r oked at any ti e for due cause. �(�I <br /> —. �� / l / �c.��o �� i�;` --�'- ��'lC,� � �(���-j'—/Ci <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />