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• CITY OF ORONO PERMIT NO.: 2010-01079 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuED: 1UO3/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 744 DICKEY LAKE DR <br /> P1N : 27-118-23-33-0007 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 004 BLOCK 001 <br /> VERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 15,000.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 265.50 <br /> COMPAN[ON CONSTRUCTION STATE SURCHARGE(VALUATION) 7.50 <br /> 3305 HARBORLANE N <br /> PLYMOUTH, MN 55447- TOTAL 273.00 <br /> (952)836-4806 <br /> Minnesota State License#: 20638527 <br /> OWNER <br /> PETTIS, GERALD& ALICE <br /> 744 DICKEY LAKE DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for�chich 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 additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days at an}�time after work has commenced. <br /> "I�he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at a time for due cau . �"-, <br /> � _ � �� �,...�` /� <br /> Applicant Pcrmitee Signature Date �� �� � � ��� �� � � � ��% <br /> Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />