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CITY OF ORONO PERMIT NO.: 2011-00770 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/10/2011 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1995 WEST FARM RD <br /> PIN : 27-118-23-43-0013 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 011 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DOORS <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 6,482.00 <br /> NOTE: REPLACE(1)DOOR WITHIN EXISTING OPENINGS <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> RENEWAL BY ANDERSON STATE SURCHARGE(VALUATION) 3.24 <br /> 1920 COUNTY RD C.WEST <br /> ROSEVILLE,MN 55113 TOTAL 150.74 <br /> (612)502-4777 <br /> Minnesota State License#:20130983 <br /> OWNER <br /> PARRISH,RICHARD <br /> 1995 WEST FARM 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 time for due cause. <br /> / / <br /> r <br /> Applicant Permitee Signature Date Issued By Si;j,ature /f ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E. <br />