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CITY OF ORONO PERMIT NO.: 2010-00740 <br /> 2750 KELLEY PARKWAY <br /> ' � ORONO, MN 55356- DATE IssuEn: 08/19/2010 <br /> .� • <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2055 SALEM CT <br /> PIN : 27-118-23-34-0008 <br /> LEGAL DESC : DICKEY LAKE ADDN <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 25,006.17 <br /> NOTE: <br /> TEAR OFF AND REROOF <br /> APPLICANT pERMIT FEE SCHEDULE 423.75 <br /> FOSS EXTERIORS LLC STATE SURCHARGE(VALUATION) 12.50 <br /> 1891 SANDBAR CIRCLE TOTAL 436.25 <br /> WACONIA,MN 55387 <br /> (612)229-8619 <br /> Minnesota State License#:20438042 <br /> OWNER <br /> SODERSTROM ET AL,JEFFREY E <br /> 2055 SALEM CT <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 separate <br /> permiu. 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 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 /> / / �"l /al/ 60 <br /> Applicant Permitee Signature Date <br /> I d By ►gr►ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />