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� r` " CITY OF ORONO PERMIT NO.: 2008-00183 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUED: 08/29/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS . : 235 HOLLANDER RD <br /> PIN : 25-118-23-43-0026 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> VALUATION : $ 43,697.93 <br /> ��;� � �`�`� ��� �V�1 �C�I �'1�/' <br /> �' �> <br /> APPLICANT PERMIT FEE SCHEDULE 617.25 <br /> WESTURN CEDAR SUPPLY, INC. STATE SURCHARGE(VALUATION) 21.85 <br /> 9700 13TH AVENUE N. <br /> PLYMOUTH, MN 55441- TOTAL 639.10 <br /> (763)541-0304 <br /> Minnesota State License#: 20155566 <br /> OWNER <br /> KELSEY, DAVID&CHERYL <br /> 235 HOLLANDER RD <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring aIl required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �;--�...�=� � ��,�T��z� � �� �� B <br />'Applicant Perfi�itee Signature Date Issued ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />