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CITY OF ORONO PERM[T NO.: 2010-00739 <br /> k 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEu: 08/19/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 111 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0011 <br /> LEGAL DESC : H[LL O'WAY MANOR <br /> : LOT 006 BLOCK 001 <br /> PERMTT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIV[TY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 12,521.00 <br /> NOTG: RESHINGLE HOME AND INSTALL NEW GUTTERS <br /> APPLICANT PERMIT FEE SCHEDULE 236.00 <br /> LES JONES ROOFING INC. STATE SURCHARGE(VALUAT[ON) 6.26 <br /> 941 W 80TH STREET <br /> BLOOMINGTON, MN 55420- TOTAL 242.26 <br /> (612)881-2241 PAID WITH CC# 9068 <br /> Minnesota State License#: 6560 <br /> OWNER <br /> CURRY, THOMAS <br /> l 1 l CHEVY CHASE DR <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 separate <br /> permi[s. All provisions of laws and ordinances goveming this rype of work <br /> shall be compied with whether or not specitied 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 penod 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 /> ��'LC-Q-C.� �'N- l l l l <br /> Applicant Permitee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />