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CITY OF ORONO PERMIT NO.: 200�-oo36s <br /> ., 2750 KELLEY PARKWAY <br /> � ORONO,MN 55356- DATE IssuEn: 07/OU2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 100 LUCE LINE RIDGE <br /> PIN : 31-118-23-34-0009 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT bl� �l <br /> VALUATION : $ 6,600.00 � <br /> APPLICANT pERMIT FEE SCHEDULE 147.50 <br /> INCLINE ENTERPRISES INC STATE SURCHARGE(VALUATION) 3.30 <br /> 26175 BIRCH BLLJFF RD TOTAL 150.80 <br /> SHOREWOOD,MN 55331 <br /> (612)471-9065 <br /> Minnesota State License#:20168831 <br /> OWNER <br /> PASSOW,MR.&MRS. <br /> 100 LUCE LINE RIDGE <br /> MAPLE PLAIN,MN 55359 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 dces <br /> not grant permission for additional or related work which requires separate <br /> pertnits. 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 the State Building Code.This permit may be <br /> revoked y time for du c se. <br /> �/ I / �� / / <br /> Ap i ant Permitee Signature Date Issued By Si ture e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />