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CITY OF ORONO PERMIT NO.: 2010-01038 <br /> c p ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE [SSU�D: 10/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 113 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0012 <br /> LEGAL DESC : H[LL O'WAY MANOR <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,100.00 <br /> NOTE: <br /> TEAR OFP R�ROOP <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> SELA ROOFING& REMODELING, INC. STATE SURCHARGE(VALUATION) 5.00 <br /> 4100 EXCESIOR BLVD <br /> ST. LOUIS PARK, MN 55416- TOTAL 152.50 <br /> (952)9l 5-7227 <br /> Minnesota State License#: 0001050 <br /> OWNER <br /> JAMSA, JONATHAN &MARTHA <br /> 113 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfornicd 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 /> 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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within i ays of the date of issuance,or if construction is <br /> suspended for a'pe od 180 days at any time after work has commenced. <br /> The applican�is r spons ble Yor assuring• quired inspections are <br /> requested in o onn �e with e Sta Buil ing Code.This permit may be <br /> revoked at an ime du c u . <br /> ? �l 2(J l /� i v�D �/� <br /> plicant mitee Signature Date Is� ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />