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' CITY OF ORONO PERMIT NO.: 2011-00945 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 08/26/2011 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3200 BAYSIDE RD <br /> PIN : 05-117-23-14-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.203 <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 9,000.00 <br /> NOTE: WORKING UNDER LICENSE OF RYAN SAWDEY CONSTRUCTION LICGNSE#20318786 <br /> DOUBLE FEE FOR WORK DONE WITHOUT A PERMIT <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> STORM SOLUTIONS STATE SURCHARGE(VALUATION) 4.50 <br /> PO BOX 514 <br /> DELANO, MN 55328- MISC FEE 177.00 <br /> (763)972-5120 TOTAL 358.50 <br /> Minnesota State License#: 20318786 <br /> OWNER <br /> REZABEK, MR. &MRS. TRENT <br /> 3200 BAYSIDE 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 /> 7'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the Sta[e Building Code.This permit may be <br /> revoke�d a�y time for due�ca�se. <br /> , _, ; �— <br /> � _� �1�� l.x'O/� <br /> / / <br /> App ' ant Permite ignature Date Issued By Si nature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />