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CITY OF ORONO PERMIT NO.: 2009-00796 <br /> + , ., 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 1U10/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3625 EILEEN ST <br /> PIN : OS-117-23-21-0012 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BU[LDING -UNDEFINED <br /> VALUATION : $ 11,800.00 <br /> NOTE: TEAR OFF AND REROOF AND REPLACE SIDING/WINDOWS/TRUSSES <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 221.25 <br /> NEW LIFE CONTRACTING STATE SURCHARGE(VALUATION) 5.90 <br /> 8030 OLD CEDAR AVE#119 TOTAL 227.15 <br /> BLOOMINGTON, MN 55431- <br /> (651)224-3442 <br /> Minnesota State License#: 20249486 <br /> OWNER <br /> PIDEGON,JOHN& MADALEN <br /> 3625 EILEEN ST <br /> MAPLE PLAIN, MN 55359 <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 /> S[ate 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 specitied 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 180 days at any time aRer work has commenced. <br /> The 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 any time for due c use. <br /> l � � � o� � � <br /> Ap licant Permi Signature Date Issued Si ure e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED AB V . <br />