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i ` <br /> CITY OF ORONO PERMIT NO.: 2010-00675 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/06/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1800 LAKEVIEW TER <br /> PIN : 27-118-23-43-0007 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 003 BLOCK 004 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 10,000.00 <br /> NOTE: TEAR OFF-REROOF <br /> APPLICANT pERMIT FEE SCHEDULE 191.75 <br /> PLYMOUTH ROOFING& INSULATION STATE SURCHARGE(VALUATION) 5.00 <br /> 17525 CTY ROAD 24 TOTAL 196.75 <br /> PLYMOUTH, MN 55447 <br /> (763)473-3397 <br /> Minnesota State License#: 5358 <br /> OWNER <br /> HELGESON, RICHARD&VIRIEAN <br /> 1800 LAKEVIEW TER <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 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 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 construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsibie for assuring all r uired inspections are <br /> requested in conformance with e Sta i ing Code.This permit may be <br /> re oket} t a me for d ca se. � <br /> / / �/ � / � <br /> Applicant Permite ignature Date u By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK O HER THAN DESCRIBED ABOVE. <br />