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� � CITY OF ORONO PERMIT 1v0.: 2008-00278 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/08/2008 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2700 COPPER VIEW DR <br /> PIN : 33-118-23-43-0017 <br /> LEGAL DESC : ROSCH ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 20,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 339.25 <br /> BOUMEESTER CUSTOM HOMES, INC. STATE SURCHARGE(VALUATION) 10.00 <br /> 21120 PARKFIELD AVE. <br /> JORDAN, MN 55352 TOTAL 349.25 <br /> �) <br /> Minnesota State License#:20219688 <br /> OWNER <br /> ZEBSKI,ZAG <br /> 2700 COPPERVIEW LANE <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shali 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 separa[e <br /> permits. All provisions of laws and ordinances goveming 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 wi[hin 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days a[any time atter work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in ormance with the State Building Code.This permit may be <br /> revoked time for cause. <br /> `� `�L'/ �L-J�u� �l � l �%� /O l ��l <br /> Applicant Permitee Signature Date ued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />