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CITY OF ORONO PERMIT NO.: 2012-00047 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 01/19/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3535 WATERTOWN RD <br /> PIN 32-118-23-43-0005 <br /> LEGAL DESC UNPLATTED 32 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE SIDING <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION $ 23,500.00 <br /> NOTE: RESIDING <br /> APPLICANT PERMIT FEE SCHEDULE 398.25 <br /> CRAFTSMAN'S CHOICE,INC. STATE SURCHARGE(VALUATION) 11.75 <br /> 26219 FREMONT DRIVE#105 <br /> ZIMMERMAN,MN 55398- MAIL-IN FEE 2.00 <br /> (763)633-1390 TOTAL 412.00 <br /> Minnesota State License#:20384780 PAID WITH CC# 6694 <br /> OWNER <br /> ROBERTSON,ROBERT <br /> 3535 WATERTOWN 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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any ime for due cause. <br /> // / l / 2 A4 <br /> � llgi � z <br /> Applicant PerrnitZW Signature Date d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />