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CITY OF ORONO PERMIT NO.: 2oos-ooii2 <br /> � � � " 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUEn: 08/OS/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3011 SUSSEX RD <br /> PIN : 04-117-23-32-0018 <br /> LEGAL D SC : FOX BEND <br /> : LOT 007 BLOCK 002 <br /> PERMIT PE : MINOR ALTERATIONS <br /> PROPERT TYPE : RESIDENTIAL �/�- <br /> CONSTRU TION TYPE : ROOFIN��HALT p�� g�a��t�l'� <br /> VALUATI N : $ 19,000.00 � J <br /> J�� <br /> nU� <br /> �� <br /> APPLICANT PERMIT FEE SCHEDULE 324.50 <br /> HUBER CO STRUCTION STATE SURCHARGE(VALUATION) 9.50 <br /> 9766 FALL N AVE. TOTAL 334.00 <br /> STE 105 <br /> MONTICEL O, :VIN 55362 <br /> (763)271-76 3 <br /> Minnesota S te License#: BC-201026 <br /> OWNER <br /> CRISTIANI,JUAN&RENEE <br /> 3011 SUSSE RD <br /> LONG LAK ,MN 55356 <br /> AGRE MENT AND SWORN STATEMENT <br /> The work for w ich this permit is issued shall be performed according to <br /> the approved pl ns and specifications,applicable City approvals,and the <br /> State Building ode. This permit is for only the work described and does <br /> not grant permi sion for additional or related work which requires sepazate <br /> permits. All pr isions of laws and ordinances governing this type of work <br /> shall be compie with whether or not specified herein.This permit will <br /> expire and beco e null and void if construction authorized is not <br /> commenced wit in 180 days of the date of issuance,or if construction is <br /> suspended for a eriod of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in con ormance with the State Building Code.This permit may be <br /> revoked at y t me r due se. <br /> � /` � <br /> � � � /� / G/ � / ��j' <br /> Q C.�O <br /> Applic t Pe ' ee Signature Date Issued B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBE OVE. <br />