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� � CITY OF ORONO PERMIT NO.: 2o�i-oos2� <br /> 2750 KELY�.EY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 06/27/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 222 BEDERWOOD DR <br /> PIN : OS-117-23-13-0049 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 203 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 7,000.00 <br /> NOTE: TEAR OFF REROOF-ASPHALT <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> W. F. SMITH CONSTRUCTION STATE SURCHARGE(VALUATION) 3.50 <br /> 6585 SO SAUNDERS LAKE DRIVE <br /> MINNETRISTA,MN 55364- TOTAL 151.00 <br /> (612)867-3117 PAID WITH CC# 1933 <br /> Minnesota State License#: 5309 <br /> OWNER <br /> MUELLER, JEFFREY <br /> 222 BEDERWOOD DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[is issued shall be pertormed according to <br /> thc approvcd plans and specitications,applicable City approvals,and the <br /> State E3uilding Code. This 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 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 assuring all required inspections are <br /> reques d in conformance it the S e Building Code.This permit may be <br /> revo d at a tim or d e. � <br /> ` � / �-�7/ �� � � � / <br /> Applicant Permitee Sign ture Date Issu 'B3=-Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />