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i <br /> CITY OF ORONO PERMIT NO.: 2010-00861 <br /> 2750 KELLEY PARKWAY <br /> , � ORONO, MN 55356- DATE �SSUEn: 09/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 950 DAKOTA AVE <br /> P[N : 26-118-23-33-0025 <br /> LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 9,000.00 <br /> APPLICANT YERMIT FEE SCHEDULE 177.00 <br /> MINNESOTA EXTERIORS [NC. STATE SURCHARGE(VALUAT[ON) 5.00 <br /> 8600 JEFFERSON HIGHWAY <br /> OSSEO, MN 55369 MISC FEE 0.00 <br /> (763)391-5508 TOTAL 182.00 <br /> Minnesota State License#: 2877 <br /> OWNER <br /> OLEN, G <br /> 950 DAKOTA AVE <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pemiit 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 /> pennits. All provisions of laws and ordinances goveming 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 within I 80 days of the date of issuance,or if construction 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 confomiance with the State Building Code.This permit may be <br /> revoked at any time for due c�use. <br /> �l v�l,�.t.c. C�lL- / / / / <br /> Applicant Permitee Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED AB . <br />