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� <br /> CITY OF ORONO PERMIT NO.: 2011-00556 <br /> ,' 2750 KELLEY PARKWAY <br /> � � ORONO, MN 55356- DA7'E�sSUED: 06/29/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4760 NORTH ARM DR W <br /> PIN : 06-117-23-23-0010 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 73.75 <br /> CVA DESIGNS CONSTRUCTION STATE SURCHARGE(VALUATION) 1.00 <br /> 15832 VENTURE LANE <br /> EDEN PRAIRIE, MN 55344- MISC FEE 0.00 <br /> (612)216-5513 TOTAL 74.75 <br /> Minnesota State License#: 20634594 <br /> OWNER <br /> FLEMING, PATRICK&CINDY <br /> 4760 NORTH ARM DR W <br /> , MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 180 days ofthe date of issuance,or if consVuction 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 t e fpr due cause. <br /> � � � � 2`� l ��/l ��i}'�2.� l l <br /> A licant Permitee ature Date Issued By nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />