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CITY OF ORONO PERMIT NO.: 2011-00526 � <br /> ,�, 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE [SS[1ED: 06/27/2011 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 315 CRESTVIEW AVE <br /> PIN : OS-117-23-14-0030 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACT[V[TY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 10,300.00 <br /> APPLICANT <br /> STORM PRO EXTERIORS PERMIT FEE SCHEDULE 206.50 <br /> 600 TWELVE OAKS CENTER DRIVE STATE SURCHARGE(VALUATION) 5.15 <br /> SU[TE 648D TOTAL 211.65 <br /> WAYZATA,MN 55391- <br /> (952)513-8667 <br /> Minnesota State License#: 20634454 <br /> OWNER <br /> ENGEBRITSON, REGINA � <br /> 315 CRESTVIEW AVE <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[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 ror 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 consVuction is <br /> suspended for a period of l80 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance wit he Sta[e Building Code.This permit may be <br /> revo� at any ti e_for se. f ��'� <br /> ' � l l i�-/"�-'�-�. C�.S�'1'��� � ��`� 4�� � <br /> Appl ant rmitee Signature Date lssued E3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />