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CITY OF ORONO PERMIT NO.: 2009-00773 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/30/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 920 WAYZATA BLVD W <br /> PIN : 35-118-23-41-0006 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 7,890.00 <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> D S BAHR CONSTRUCTION, INC. STATE SURCHARGE(VALUATION) 3.95 <br /> 9771 312TH ST WAY TOTAL 166.20 <br /> CANNON FALLS,MN 55009 <br /> (612)722-1448 <br /> Minnesota State License#: 20207341 <br /> OWNER <br /> CHIODIAN,HEATHER&MICHEAL <br /> 920 WAYZATA BLVD W <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 /> 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 is responsible for assuring all required inspections are <br /> re d in conformance with the State Building Code.This permit may be <br /> r yoked-a any ' r due co se. <br /> I <br /> . °, <br /> . /7/ 5: <br /> j `" / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />