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CITY OF ORONO PERMIT NO.: 2008-00166 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/25/2008 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS , : 999 WILDHURST TR <br /> PIN : 07-117-23-21-0005 <br /> LEGAL DESC : UNPLATTED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> VALUATION : $ 2,000.00 <br /> NOTE: REMOVE AND REPLACE 4 SQ SHINGLES FROM STORM DAMAGE <br /> a• U( O' S &LI rV% <br /> APPLICANT PERMIT FEE SCHEDULE 73.75 <br /> STATEWIDE CONSTRUCTION INC. STATE SURCHARGE(VALUATION) 1.00 <br /> 4235 SPRUCE ROAD <br /> ST BONIFACIUS,MN 55375- TOTAL 74.75 <br /> (612)590-2938 <br /> Minnesota State License#:20447170 <br /> OWNER <br /> NIMERFROH,MARTIN&NAN <br /> 999 WILDHURST TR <br /> MOUND,MN 55364 <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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. ,Q / <br /> Applicant Permitee Signature Date <br /> Issue• By nature /a Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESC' e{t <br /> I ABOVE. <br />