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{� t� _ <br /> CITY OF ORONO PERMIT NO.: 2oiaoos�i <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/12/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 126 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0040 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING -LJNDEFINED <br /> VALUATION : $ 6,670.00 <br /> NOTG: <br /> TEAR OFF REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> ELITE EXTERIORS STATE SURCHARGE(VALUAT[ON) 5.00 <br /> 1505 SOUTHCROSS DR W, SUITE B <br /> BURNSVILLE,MN 55337- MA[L-IN FEE 2.00 <br /> (651)688-7808 TOTAL 154.50 <br /> Minnesota State License#: 20509942 <br /> OWNER <br /> TRUST, RUTH L BROWNAWELL <br /> 126 CHEVY CHASE DR <br /> ,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. 'I his 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 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 are <br /> requested in conformance with[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> i i �l /� /d <br /> Applicant Permitee Signature Date ssued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />