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., CITY OF ORONO PERMIT NO.: 2010-00695 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 08/1 U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1840 LAKEVIEW TER <br /> PIN : 27-118-23-42-0010 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LINDEFINED <br /> VALUATION : $ 5,500.00 <br /> APPLICANT pERMIT FEE SCHEDULE 132.75 <br /> EXCEPTIONAL HOMES&REMODELING, INC STATE SURCHARGE(VALUATION) 5.00 <br /> 2890 QUEENSLAND LANE N <br /> MAPLE GROVE, MN 55311- TOTAL 137.75 <br /> (612)221-5994 PAID WITH CC# 0297 <br /> Minnesota State License#: 20626822 <br /> OWNER <br /> MERNIK,WILLIAM&LISA <br /> 1840 LAKEVIEW TER <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AND SWORN STATEME1vT <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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be J <br /> revoked at any time for due cause. � f`� <br /> `� ��G� � �� ��� �_ -:_ ( .%�-� ;�-��;� � �"�- l% --%�; <br /> icant Permitee Signature Date Issued By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />