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, , CITY OF ORONO PERMIT NO.: 2o�aoo9gs <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 10/13/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1040 KNOLL MANOR RD <br /> PIN : 26-118-23-31-0014 <br /> LEGAL DESC : KNOLL MANOR <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 12,000.00 <br /> NOTE: TEAR OFF REROOF-ASPHALT SHINGLES <br /> APPLICANT pERMIT FEE SCHEDULE 221.25 <br /> K.RANDALL&COMPANY STATE SURCHARGE(VALUATION) 6.00 <br /> 3801 SUNSET DRIVE TOTAL 227.25 <br /> SPRING PARK,MN 55384 <br /> �) <br /> Minnesota State License#: 20637998 <br /> OWNER <br /> CARGILL,W BIGLEY&K <br /> 1040 KNOLL MANOR RD <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,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 goveming 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 applicac�t is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> rev ed at any time for due cause. <br /> i b / .\`� / 1 u ���i�l� J�i �.3i /C`j <br /> App icant Permite ' nature Date Iss y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />