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CITY OF ORONO PERMIT NO.: 2009-00789 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1U05/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3700 BAYSIDE RD <br /> PIN : OS-117-23-21-0016 <br /> LEGAL DESC : BURGERS BAYSIDE <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 14,000.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 250.75 <br /> REID CONSTRUCTION <br /> 7612 450TH ST. STATE SURCHARGE(VALUATION) 7.00 <br /> HARRIS, MN 55032- TOTAL 257.75 <br /> (651)216-4233 <br /> Minnesota State License#: 20392736 <br /> OWNER <br /> COX, STEVEN& MARILYN <br /> 3700 BAYSIDE RD <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 specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> no[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 l80 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 responsibie Yor assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any ti�due ca"� <br /> ,../'" ,� � ` <br /> � � . �-�G- � 'r'�� // l J 1�1��� <br /> / / <br /> Ap 'cant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />