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� CITY OF ORONO PERMIT NO.: 2009-00�23 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/19/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4675 CREEKWOOD TR <br /> PIN : 30-1 l 8-23-33-0007 <br /> LEGAL DESC : PAINTERS WOODS <br /> : LOT 005 BLOCK 001 <br /> PERM[T TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 20,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> LEGACY EXTERIORS LLC STATE SURCHARGE(VALUATION) 10.00 <br /> 12415 SSTH ST.N. <br /> LAKE ELMO, MN 55042- TOTAL 349.25 <br /> (651)430-3466 <br /> Minnesota State License#: 20630634 <br /> OWNER <br /> B]EK, D& K <br /> 4675 CREEKWOOD TR <br /> MAPLE PLAIN, MN 55359 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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. All provisions of laws and ordinances governing this type of wark <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 /> conunenced 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 i onformance ith the S[ uildin de.This permit may be <br /> revoke t any time for cause. <br /> / ' ��`� � / / <br /> pplicant Per ite Signature Date Issued y ' nature Dat <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABO <br />