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CITY OF ORONO * 2 0 1 2 — 0 0 4 5 6 * <br /> ^�a � 2750 KELLEY PARKWAY DATE ISSUED: 05/25/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1405 PARK DR <br /> PIN : 07-117-23-42-0016 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 001 BLOCK O15 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-OTHER <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 2,911.00 <br /> NOTE: REROOF-EPDM <br /> APPLICANT pERMIT FEE SCHEDULE 88.50 <br /> LES JONES ROOFING INC. STATE SURCHARGE(VALUATION) 1.46 <br /> 941 W 80TH STREET <br /> BLOOMINGTON,MN 5542a TOTAL 89.96 <br /> (612)881-2241 PAID WITH CC# 9068 <br /> Minnesota State License#: 6560 <br /> OWNER <br /> SHEARER,FRED&KAREN <br /> 1405 PARK DR <br /> MOUND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> 7'he 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 wnformance with the State Building Code.This permit may be <br /> revoked at any time for du cause. <br /> �. � ���la- � i �� <br /> Applicant Permitee S' ature Date ssu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />