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CITY OF ORONO PERMIT NO.: 2011-00534 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/28/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4575 WOLVERTON PL <br /> PIN : 31-118-23-31-0007 <br /> LEGAL DESC : FOXFYRE ESTATES <br /> : LOT 001 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 14,740.00 <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> DAN LILLESTOL ABLE RESTORATION STATE SURCHARGE(VALUATION) 7.37 <br /> 17316 KENYON AVE#103 <br /> LAKEVILLE,MN 55044- TOTAL 272.87 <br /> (612)280-4807 <br /> OWNER <br /> JOHNSON,REBECCA L <br /> 4575 WOLVERTON PL <br /> MAPLE PLAIN,MN 55359- <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 /7-CS 4'C-+ <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. <br /> (5))/144t14--- / <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />