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, CITY OF ORONO * z 0 1 5 - 0 1 3 3 7 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2015 <br /> ORONO, MN 55356- <br /> 952)249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1030 LOMA LINDA AVE <br /> PIN : 07-117-23-14-0056 <br /> LEGAL DESC : LJNPLATTED 07 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : M[NOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CO1�iSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 5,900.00 <br /> NOTE: (RE-ROOF DETACHED GARAGE&WEST SIDE OF HOUSE-NOT FLAT ROOF) <br /> APPLICANT PERMIT FEE SCHEDULE 139.40 <br /> STATE SURCHARGE(VALUATION) 2.95 <br /> ERICK N KALLERUP CONSTRUCTION TOTAL 142.35 <br /> 1602 ARCHWOOD ROAD Payment(s) <br /> MINNETONKA,MN 55305 CHECK 5130 142.35 <br /> (612)'701-9892 <br /> OWNER <br /> GARY W WOLLNER,LORI A HUINKER& <br /> 1030 LOMA LINDA AVE <br /> MOLJND,MN 55364- <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 Ciry 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 bewme 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 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 /> � 2� <br /> � �� ��.c���� �'��#-s�; 1�� � � t� � �s <br /> Applicant Permitee ignature Date Issued y Signature Date <br />