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CITY OF ORONO PERMIT NO.: 2010-00650 <br /> 2750 KELLEY PARKWAY <br /> ` ORONO,MN 55356- DATE ISSUED: 08/02/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 2845 WEAR CIR <br /> PIN 33-118-23-34-0009 <br /> LEGAL DESC ROLLING MEADOWS 2ND ADDN <br /> LOT 003 BLOCK 002 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 11,100.00 <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> AMERICAN BUILDING CONTRACTORS STATE SURCHARGE(VALUATION) 5.55 <br /> 2960 JUDICIAL RD#100 <br /> BURNSVILLE,MN 55337 MISC FEE 0.00 <br /> (952)707-6959 TOTAL 226.80 <br /> Minnesota State License#:20169383 <br /> OWNER <br /> JOHNSON,SUSAN&KLEIN <br /> 2845 WEAR CIR <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 time for due cause. <br /> Applicant Permitee Signature Date Issued Bygnatur Date 2 �V <br /> SEPARATE PERMITS REQUIRED FOR HER TI-IAVESWJ13ED ABOVE. <br />