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CITY OF ORONO PERMIT NO.: 2011-00458 <br /> 2750 KELLEY PARKWAY <br /> a. ORONO, MN 55356- DATE ISSUED: 06/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 684 TONKAWA RD <br /> PIN 05-117-23-33-0011 <br /> LEGAL DESC PARTENS POINT 1ST DIV <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 $ 5,600.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> WEATHER-TITE EXTERIORS STATE SURCHARGE(VALUATION) 2.80 <br /> 1984 QUINBALEE RD <br /> DEPERE, WI 54115- MISC FEE 0.00 <br /> (704)577-5901 TOTAL 135.55 <br /> Minnesota State License#:20638654 PAID WITH CC# 5779 <br /> OWNER <br /> GILBERTSON,WELDON&MARCIA <br /> 684 TONKAWA RD <br /> LONG LAKE,MN 55356- <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 /> permits. 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 isresponse �u l equired inspections are <br /> requested in confo ce with the State Buil i Code.This permit may be <br /> revok any ti a cause. <br /> _.App hc erm' a — <br /> Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />