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' CITY OF ORONO PERMIT NO.: 2008-00412 <br /> �� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 1 U24/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 123 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0017 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 012 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[A[, <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> VALUATION : $ 20,000.00 <br /> NOTG: TEAR OFF&REROOF �� � G� ���O� <br /> V <br /> APPLICANT PERM[T FEE SCHEDULE 339.25 <br /> WESTURN CEDAR SUPPLY, INC. STATE SURCHARGE(VALUATION) 10.00 <br /> 9700 13TH AVENUE N. <br /> PLYMOUTH,MN 55441- TOTAL 349.25 <br /> (763)541-0304 <br /> Minnesota State License#: 20155566 <br /> OWNER <br /> STRAUMAN, ROGER&CHRIS <br /> 123 CHEVY CHASE DR <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 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 specified herein.This permit will <br /> expire and become null and void if construction authorized is no[ <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 inspec[ions are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � 1� /-������2y'-08' , , <br /> Applicant Permitee Signature � Date Issued By Si ture Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBE ABOVE. <br />