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CITY OF ORONO PERMIT NO.: 2010-00762 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/25/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 805 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0002 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 12,000.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 221.25 <br /> RUSS RIDER HOME IMPROVEMENTS STATE SURCHARGE_(VALUATION) 6.00 <br /> 790 WENTWORTH AVE S <br /> MENDOTA HEIGHTS,MN 55118- TOTAL 227.25 <br /> (651)246-7729 _ -PAID WIT}I CC#-- 2622 <br /> Minnesota State License#:20288229 <br /> OWNER <br /> SAMS,DOUGLAS&MARY <br /> 805 WILLOW VIEW DR <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 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 ca se. <br /> Applicant Permitee Signature Date Iss,e; :y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />