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CITY OF ORONO PERMIT NO.: 2010-01080 <br /> ' � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 1UO3/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1635 CONCORDIA ST <br /> PIN : 17-117-23-22-0040 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1628 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOl�1 TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILDING- LJNDEFINED <br /> VALUATION : $ 24,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 398.25 <br /> ALLSTAR CONSTRUCTION <br /> 5145 INDUSTR[AL ST STATE SURCHARGE(VALUATION) 12.00 <br /> SUITE 103 MISC FEE 0.00 <br /> MAPLE PLAIN, MN 55359 TOTAL 410.25 <br /> (763)479-8700 <br /> Minnesota State License#: 20631575 <br /> OWNER <br /> ALTON, L[SA <br /> 1635 CONCORDIA ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issucd shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant perniission 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 specitied herein."Chis 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 ot�180 days al any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requ� ted in confonnance with the State Building Code.This permit may bc <br /> revo d t an time for e cause. � / <br /> I 1 � 3 �� � ' -?�I,L��-' i � G�-�� /�� <br /> Appl cant Permitee Signature Date [ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />