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� w <br /> CITY OF ORONO PERMIT NO.: 2010-00640 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 07/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2145 SIXTH AVE N <br /> PIN : 27-118-23-31-0014 <br /> LEGAL DESC : LJNPLATTED 27 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 11,800.00 <br /> NOTE: TEAR OFF REROOF <br /> APPLICANT pERMIT FEE SCHEDULE 221.25 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.90 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 TOTAL 227.15 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#:20631574 <br /> OWNER <br /> DEWITT,BRUCE&MELANIE <br /> 2145 SIXTH AVE N <br /> LONG LAKE,MN 55356 <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. This petmit is for only the work described and dces <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 applicarit is responsible for assuring all required inspections aze <br /> reque d in co form e wi the State Building Code.This permit may be <br /> vok at a�►y ime fo ue c se. <br /> � 2 � �� � � !D <br /> Applicant Permitee Signature Date Issu Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />