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CITY OF ORONO PERMIT NO.: 2010-00960 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/07/2010 <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 985 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0011 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 010 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 10,000.00 <br /> NOTE: TEAR OFF REROOF-ASPHALT <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> THOMAS BREN HOMES STATE SURCHARGE(VALUATION) 5.00 <br /> 2073 WAYZATA BLVD. W.#50 TOTAL 196.75 <br /> WAYZATA,MN 55391 <br /> (952)475-6777 <br /> Minnesota State License#: 20128144 <br /> OWNER <br /> BROCKMAN,JENNY&GERRY <br /> 985 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 tim or due c use. <br /> /41 / -7 671/tJZ,A) /6 7 / <br /> Applicant Per ' e Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />