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�, CITY OF ORONO PERMIT NO.: 20��-0049� <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/2U2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4215 FOREST LAKE DR <br /> PIN : 07-117-23-12-0026 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 004 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 10,682.18 <br /> NO"I'E: "I'F,AR OFF REROOF HOUSE,GARAGG AND SHED <br /> APPLICANT PERMIT FEE SCHEDULE 206.50 <br /> WALKER ROOFING CO., [NC. STATE SURCHARGE(VALUATION) 5.34 <br /> 2274 CAPP RD <br /> ST PAUL, MN 55114- MAIL-IN FEE 2.00 <br /> (651)251-0910 TOTAL 213.84 <br /> Minnesota State License#: 4229 PAID WITH CC# 4291 <br /> OWNER <br /> LOUGLIN,JOHN& RUTH <br /> 4215 FOREST LAKE DR <br /> MOUND, MN 55364 <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for which this permit is issucd shall be peribrmed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This pemiit is for only the work describcd 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.'�his 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[ime atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conYormance with the State Building Code.This permit may be <br /> revoked at any time f due cause. <br /> � oZ � � 02/ � // <br /> Applicant Permite ignature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />