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CITY OF ORONO PERMIT NO.: 2010-00290 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 04/30/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 185 CRYSTAL CREEK RD <br /> PIN : 33-118-23-32-0003 <br /> LEGAL DESC : CRYSTAL CREEK <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOF[NG -ASPHALT <br /> ACTIVITY : O/S BUILDING -LJNDEFINED <br /> VALUATION : $ 11,000.00 <br /> NOTE: TEAR OFF AND REROOF HOUSE/ATTACHGD GARAGE <br /> APPLICANT PERMIT FEE SCHEDULE 206.50 <br /> SELA ROOFING& REMODEL[NG, INC. STATE SURCHARGE(VALUATION) 5.50 <br /> 4100 EXCESIOR BLVD <br /> ST. LOUTS PARK, MN 55416- TOTAL 212.00 <br /> (952)915-7227 <br /> Minnesota State License#: 0001050 <br /> OWNER <br /> MELROSE, KEN <br /> 185 CRYSTAL CREEK RD <br /> LONG LAKE, IyIN 55356 <br /> AGREEMENT AIYD SWORN STATEMENT <br /> The work for which this permit is issued 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 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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced� 180 days of the date of issuance,or if construction is <br /> suspen d or a period of 180 days at any time after work has commenced. <br /> The app�cant is responsible for assur' a equired inspections are <br /> uesYe in co nce th he ate Bu Iding Code.This permit may be <br /> revo�d t a tim �r d c se.� j <br /> / / {��L/� `O <br /> Appli Permitee Signature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK THER THAN DESCRIBED ABOVE. <br />