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CITY OF ORONO PERMIT NO.: 2011-00511 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/23/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 1040 TONKAWA RD <br /> PIN 08-117-23-13-0013 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <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 $ 68,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 816.75 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 34.00 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 TOTAL 850.75 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#:20631575 <br /> OWNER <br /> NAGORSKE,LYNN&PAMELA <br /> 1040 TONKAWA RD <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 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 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 respo Ible for assuring all required inspections are <br /> requested'n of a with the State Building Code.This permit may be <br /> rev e y t' r due cause. <br /> Applicant Permitee Signature Date Issued By Onature 1AW Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A O . <br />