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CITY OF ORONO PERMIT NO.: 200&00064 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/18/2008 <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4015 DAHL RD <br /> PIN : 07-117-23-14-0001 <br /> LEGAL DESC : UNPLATTED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 8,750.00 <br /> NOTE: SINCE STARTING THE WORK SAME DAY AS PERMIT IS PULLED, INSPECTOR IS REQUESTING ICE&WATER PICTURES. <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> HACKBARTH ROOFING STATE SURCHARGE(VALUATION) 4.38 <br /> P.O. BOX 303 TOTAL 181.38 <br /> WAVERLY, MN 55390- <br /> (612)701-9529 <br /> Minnesota State License#:20082511 <br /> OWNER <br /> HAAPALA, ROBERT& BONITA <br /> 4015 DAHL RD <br /> MOUND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding 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[his type of work <br /> shall be compied with whe[her or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested iaf�t formance with the State Building C�c�e.This permit may be <br /> revake'tt���me for d e caGse. ,.--- / > <br /> � i , .'.a" jr-� , <br />.__ _ --�(�� �� <�_,;���==- �''7 i ,' �/ � � � � L C_ ��V l C�r 1 �i � � � �'�`5 <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />