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�� CITY OF ORONO PERMIT NO.: 20ll-00277 <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE 1SSUED: OS/03/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 795 BRIDGEWATER DR <br /> � PIN : 33-118-23-12-0020 <br /> LGCAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDWG - UNDEFINED <br /> VALUATION : $ 6,000.00 <br /> NOTE: "fEAR O1�F REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 132.75 <br /> MIDWEST ROOFING <br /> 6541 SYCAMORE CT N STATE SURCHARGE(VALUATION) 3.00 <br /> MAPLE GROVE, MN 55369- TOTAL 135.75 <br /> (763)427-9696 <br /> Minnesota State License#: 20637010 <br /> OWNER <br /> WILLIAMS, DONALD&VIRGINIA <br /> 795 E3RIDGEWATER DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc�vork for which this pcnnit is issued shall be performcd according to <br /> the approved plans and spccifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> nut crant permission for additional or related work ti�hich requires separate <br /> permits. All provisions ot�laws and ordinances governing this type oCwork <br /> shall be compied���ith���hether or not speciticd herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> conunenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time aCter work has conunenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State[3uilding Code.This permit may bc <br /> revoked� y ti� 1or cause. <br /> _......�_ / � / /� �/ � / / <br /> Applicant Permitee Signawre Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />