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' � CITY OF ORONO PERMIT NO.: 2010-01135 <br /> � - 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �A7'E isSUEn: 1U18/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 120 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0024 <br /> LEGAL DESC : HALLSON ESTATES 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 - UNDEF[NED <br /> VALUATION : $ 7,300.00 <br /> NO fl�:: CEAR OI�F REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> FIRST CHOICE BUILDERS STATE SURCHARGE(VALUATION) 5.00 <br /> 12245 NICOLLET AVE S TOTAL 167.25 <br /> BURNSVILLE, MN 55337- <br /> (952)808-7400 <br /> Minnesota State License#: 20317975 <br /> OWNER <br /> HALLSON,JOHN T <br /> PO BOX 171 <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> � The work ior which this permit is issued shall be performed according to <br /> lhe approved plans and specifications,applicable City approvals,and the <br /> �� State l3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or rclated wark which requires separate <br /> permits. All provisions of laws and ordinanccs governing this rype of work <br /> shall be compied with whether or not specified herein.This pennit will <br /> expire and become null and void if construction authorized is not <br /> commcnced 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 /> requested in conformance with the State 13uilding Code.This pcnnit may be <br /> revoked at any time io�due cause. <br /> .�-�, ��----._ "/ l >� l /� _ /�l ��'l �U <br /> plicant Perm ee Signature Date Is y ignature Datc <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />