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� • CITY OF ORONO PERMIT NO.: 2009-00342 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/22/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 744 DICKEY LAKE DR <br /> PIN : 27-118-23-33-0007 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING- UNDEFINED <br /> VALUATION : $ 15,800.00 <br /> NOTE: <br /> TEAR OFF/REROOF-ASPHALT <br /> APPLICANT pERMIT FEE SCHEDULE 280.25 <br /> HOME VALUE IMPROVEMENTS STATE SURCHARGE(VALUATION) 7.90 <br /> 18330 GLADSTONE BLVD <br /> MAPLE GROVE, MN 55311- TOTAL 288.15 <br /> (763)425-9500 <br /> Minnesota State License#: 20464927 <br /> OWNER <br /> PETTIS, GERALD&ALICE <br /> 744 DICKEY LAKE DR <br /> LONG LAKE, MN 55356 <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 Building Code. This permit is for only the work described and does <br /> not grant permission for additionai 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 not <br /> commenced wi[hin 180 days of the date of issuance,or if construction is <br /> suspended ior a period o1'180 days at any time after work has commenced. <br /> 'I'he applicant is resp s� le for assuring all required inspections are <br /> requ conform ce ith the State Building Code.This permit may be <br /> r o d t any ti�' or e cause. <br /> � � � � Z � D�j � ,6 / O <br /> .� p icant Pe mi ee Signature Date Is ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />