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' ` CITY OF ORONO PERMIT NO.: 2009-00419 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/23/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1525 SIXTH AVE N <br /> PIN : 26-118-23-33-0033 <br /> LEGAL DESC : ALBEES LONG LAKE ADDN <br /> : LOT 002 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 36,837.00 <br /> NOTE: TEAR OFF REROOF <br /> _. .APPLICANT _ . .._ <br /> PERMIT FEE SCHEDULE 542.00 <br /> THE HOME DEPOT A.H.S. _ .._STATE SURCHARGE(VALUATION) 18.42 <br /> 2690 CUMBERI:,AND PKWY,STE 300 � - <br /> 30339- MAIL-IN FEE 2.00 <br /> (763)542-882fi_ _. _ ._.._ _ . _ ._ ._ _. _ _.. _- ----_ TOTAL 562.42 <br /> Minnesota State License#:20268257 <br /> OWNER <br /> -.. _ __.. ___._. . __ <br /> MORRISON,SCOTT&SHERYL <br /> 1525 SIXTH AVE N <br /> ..-- -- ---.___. _ _ __._ _ _ _ _. __.. _ _ <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 dces <br /> not grant permission for additional or related work which requires separate <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 with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> 'YKa..i.! �, l l l l <br /> Applicant Permitee Signature Date Issued y gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />