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CITY OF ORONO PERMIT NO.: 200&00252 <br /> '� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DA'rE [SSUED: 09/29/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 225 HOLLANDER RD <br /> PIIY : 25-118-23-44-0007 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : M1NOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 25,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> ALL PRO XTERIORS, INC. STATE SURCHARGE(VALUATION) 12.50 <br /> 11235 EASTWOOD AVE SE TOTAL 425.50 <br /> WATERTOWN, MN 55388- <br /> (952)486-7834 <br /> Minnesota State License#: 20385228 <br /> OWNER <br /> CLOSE,JILL& LOU[S <br /> 225 HOLLANDER RD <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> [he 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 /> permits. All provisions of laws and ordinances governing[his 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 the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> L:�/�'i d�['� ""r""'� l l ��i%y'✓�lij+ �/"��) / �� /QO <br /> Applicant Permitee Signature Date Issued Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />