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r , <br /> CITY OF ORONO PERMIT NO.: 2010-00550 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 07/06/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1055 FERNDALE RD W <br /> PIN : 02-117-23-43-0029 <br /> LEGAL DESC : N/A <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 45,000.00 <br /> NOTE: REROOF RESTORATION-CEDAR SHAKE ROOF <br /> APPLICANT PERMIT FEE SCHEDULE 628.00 <br /> TIMBERLINE ROOFING& SIDING STATE SURCHARGE(VALUATION) 22.50 <br /> 5051 HIGHWAY SEVEN <br /> SUITE 270 TOTAL 650.50 <br /> MINNEAPOLIS, MN 5541(r PAID WITH CC# 8302 <br /> (612)363-6158 <br /> OWNER <br /> MCCOURTNEY, GERALD& KAREN <br /> 1055 FERNDALE RD W <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 specitications,applicable City approvals,and the <br /> State Building Code. 'Chis 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 ofwork <br /> shall be compied with whcther or not specified herein.7'his permit will <br /> expire and become null d void if construction authorized is no[ <br /> commenced within 1 ays of the da[e of issuance,or if construction is <br /> suspended for a p io of 180 days at any[ime afrer work has commenced. <br /> The applicant i e for assuring all required inspections are <br /> requested i n r ce with the State Building Code.This permit may be <br /> revoked at n ue cause. <br /> i � il� i i /C� <br /> cant P itee Signature Date Is y Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK HER THAN DESCRIBED ABOVE. <br />