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CITY OF ORONO PERMIT NO.: 2010-00989 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISsuED: 10/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3050 JAMESTOWN RD <br /> PiN : 28-118-23-33-0015 <br /> LEGAL DESC : LIBERTY ACRES 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 : $ 30,000.00 <br /> NOTE: TEAR OPP REROO�-LAMINATE SHINGLES <br /> APPLICANT <br /> PERM[T FEE SCHEDULE 466.75 <br /> FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 15.00 <br /> 1891 SANDBAR CIRCLE TOTAL 481.75 <br /> WACONIA, MN 55387 <br /> (612)229-8619 <br /> Minnesota State License#: 20438042 <br /> OWNER <br /> PAGE,ANDREW&JULIE <br /> 3050 JAMESTOWN RD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pem�it is issued shall bc perfonned according to <br /> the approved plans and specitications,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 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 responsiblc for assuring all required inspections are <br /> requested i ance with the State Building Code.This permit may be <br /> revo at any tim for due cause. <br /> l6 � f? �2��a /��/��/� <br /> Applicant Permitee Signature Date Iss By Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />