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CITY OF ORONO PERMIT NO.: 20o�-oos31 <br /> , '� 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 08/26/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1220 LYMAN AVE <br /> PIN : 35-118-23-34-0016 <br /> LEGAL DESC : LYMAN WOODS <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NOTE: TEAR OFF AND RE-ROOF <br /> APPLICANT pERMIT FEE SCHEDULE 162.25 <br /> ROOF COMPANY NA INC. STATE SURCHARGE(VALUATION) 4.00 <br /> 3560 KILKENNY LN <br /> MEDINA,MN 55340 TOTAL 166.25 <br /> (763)550-0444 <br /> Minnesota State License#:20172153 <br /> OWNER <br /> BENSON, SEAN&ALISA <br /> 1220 LYMAN AVE <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 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 applicant is responsible for assuring all required inspections aze <br /> requested in conformance w� e State Buildin :This permit may be <br /> revoke t any time fo e cause. <br /> � � ' 7c '6 � /..e.. 8'�a� � <br /> Applicant Permitee Signature Date ued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />