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CITY OF ORONO PERMIT NO.: 2010-00581 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 07/21/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4100 ELM ST <br /> PIN : 06-117-23-41-0060 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 007 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 3,792.00 <br /> NOTE: RESIDING <br /> APPLICANT <br /> PERMIT FEE SCHEDULE 103.25 <br /> IRON RIVER CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 <br /> 7540 W SHORELINE DR <br /> WACONIA,MN 55387- TOTAL 108,25 <br /> (952)442-1762 <br /> Minnesota State License#:20271278 <br /> OWNER <br /> CARROLL,MR&MRS THOMAS <br /> 4100 ELM ST <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 d. s at any time after work has commenced. <br /> The applicant is res Ionsible fortsuring all required inspections are <br /> requested in onfo ,ance with e State Building Code.This permit may be <br /> revoked at- Iv:aqua's' <br /> / <br /> l / b �, i <br /> of <br /> App ' .r: iir gnature Date <br /> � Issued By S'j ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />