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. �► <br /> CITY OF ORONO PE��T No.: 2010-00941 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 10/04/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1335 ARBOR ST <br /> PIN : 10-117-23-31-0051 <br /> LEGAL DESC : MARKVILLE <br /> : LOT OOl BLOCK 002 <br /> PERMTT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,500.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT pERMIT FEE SCHEDULE 147.50 <br /> HOME SURE INC STATE SURCHARGE(VALUATION) 5.00 <br /> 2624 ANTHONY LANE#115 TOTAL 152.50 <br /> ST ANTHONY,MN 56307- <br /> (612)353-5781 PAID WITH CC# 9677 <br /> Minnesota State License#:20580207 <br /> OWNER <br /> GARCIA,BARBARA <br /> P.O. BOX 114 <br /> CRYSTAL BAY,MN 55323- <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. 1'his permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shali be compied with whether or not specified herein.This permit will <br /> expire and become null and void if constsuction 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 aY any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C'�"v22R-�-�C.�� /oi � i i a ���v �7i i /O <br /> Applicant Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />