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CITY OF ORONO PERMIT NO.: 2009-00750 <br /> � ` 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/26/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 140 CRYSTAL CREEK RD <br /> PIN : 33-118-23-33-0010 <br /> LEGAL DESC : CRYSTAL CREEK <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BU[LDING-UNDEFINED <br /> VALUATION : $ 23,000.00 <br /> NOTE: <br /> TGAR OFF REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 383.50 <br /> CHRISTIANS INC. STATE SURCHARGE(VALUATION) 11.50 <br /> 1480 PARK ROAD <br /> CHANHASSEN, MN 55317 TOTAL 395.00 <br /> �) <br /> Minnesota State License#: 3712 <br /> OWNER <br /> BRODEN, DAVID& LAYLON <br /> 140 CRYSTAL CREEK 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 pemiission 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 hercin.This permit will <br /> expire and become null and void if construction authorized is not <br /> con d within 180 days of the date of issuance,or iY construction is <br /> suspended for eriod of 180 days at any time after work has commenced. <br /> The appl 3nt i re onsible for assuring all required inspections are <br /> queste ' c for ance with the State Building Code.This permit may be <br /> re ked t any ti for due ca <br /> �L'� �'u � '�"' /O l��ol �y <br /> A li ermitee Signature Date �s By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />