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CITY OF ORONO PERMIT 1Y0.: 2008-00273 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/06/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 85 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0012 <br /> LEGAL DESC : PETERMAN 2ND ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 13,219.00 <br /> APPLICANT PERMIT FEE SCHEDULE 250.75 <br /> ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 6.61 <br /> 745 TOWER DR. TOTAL 257.36 <br /> MEDINA, MN 55340 <br /> (763)550-0444 <br /> Minnesota State License#: 20172153 <br /> OWNER <br /> HILBELINK, M&A <br /> 85 GOLDEN VIEW 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 additional or related work which requices separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified hcrein.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 after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> reques[ed in conforma with the State Building Code.This permit may be <br /> revoked at any,tim u . <br /> / <br /> . -�,�f� � �o � � , ��' �Q �a� � � � �, <br /> ApQ 'tcant Permitee Signature Date Issued By Si ture Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRI ABOVE. <br />