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� +t � CITY OF ORONO PERMIT NO.: 2010-01173 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuED: 12/02/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 280 HOLLANDER RD <br /> PIN : 25-118-23-43-0012 <br /> LEGAL DESC : HOLLY ACRES <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 49,777.45 <br /> NOTE: JOB IS BEING STARTED ON SATURDAY-CONTRACTOR WAS TOLD TO TAKE PICTURES OF THE ICE AND WATER AND <br /> WILLIE WILL GO OUT ON FRIDAY TO VIEW THE SHAKES. <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 681.75 <br /> WESTERN CEDAR SUPPLY,INC. STATE SURCHARGE(VALUATION) 24.89 <br /> 9700 13TH AVENUE N TOTAL 706.64 <br /> PLYMOUTH,MN 55441- <br /> (763)541-0304 <br /> Minnesota State License#:20155566 <br /> OWNER <br /> PAYNE,BYRON&JILL <br /> 280 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 /> 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 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 construction authorized is not <br /> commenced within 1 SO 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 Building Code.This permit may be <br /> revoked at any time for due cause. <br /> l l �d�i d� /l, <br /> Applicant Permitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />