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CITY OF ORONO PERMIT NO.: 2009-00463 <br /> � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE�SSUEn: 08/06/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 140 GOLDEN VIEW DR <br /> PIN : 33-118-23-43-0023 <br /> LEGAL DESC : HALLSON ESTATES 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 20,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> TIMBERLINE EXTERIORS, [NC. STATE SURCHARGE(VALUATION) 10.00 <br /> 200 FLORANCE AVE S <br /> ANNANDALE, MN 55302- TOTAL 34925 <br /> (651)329-6916 <br /> Minnesota State License#: 20633887 <br /> OWNER <br /> HICKOK, CHRIS& ELIZABETH <br /> 140 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,applicabie 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 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 construc[ion authorized is not <br /> commenced within I 80 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 /> �he applicant is responsible for assuring all required inspections are � <br /> reque�d.in.�Qnformance tat ilding Code.This permit may be �(� �_ � ��., <br /> rev ed at any time foc due caus ��'�� <br /> � � --� - " / � / ��� �,,���_-C C��� � � <br /> Applicant Permitee Si re Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />