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CITY OF ORONO PERMIT NO.: 2009-00610 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/2U2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1396 BALDUR PARK RD <br /> PIN : 08-117-23-31-0002 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 016 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING -LJNDEFINED <br /> VALUATION : $ 10,000.00 <br /> NOTE: TEAR OFF AND REROOF HOUSE AND GARAGE <br /> APPLICANT pERMIT FEE SCHEDULE 191.75 <br /> WESTURN CEDAR SUPPLY, INC. STATE SURCHARGE(VALUATION) 5.00 <br /> 9700 13TH AVENUE N. TOTAL 196.75 <br /> PLYMOUTH, MN 55441- <br /> (763)541-0304 <br /> Minnesota State License#: 20155566 <br /> OWNER <br /> SCHROEDER, MIKE& KATIE <br /> 1396 BALDUR PARK RD <br /> WAYZATA, MN 55391- <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. Ail 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 cause. <br /> �/-�,_-� l/_ fi_��-=-��' 4�-�/lr��/ l l <br /> pplicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />