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CITY OF ORONO PERMIT NO.: 2009-00316 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 06/15/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1 : 425 OLD CRYSTAL BAY RD S <br /> PIN j : 04-117-23-31-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION 1 : $ 17,000.00 <br /> I <br /> APPLICANT PERMIT FEE SCHEDULE 295.00 <br /> PLYMOUTH ROOFING&INSULATION STATE SURCHARGE(VALUATION) 8.50 <br /> 17525 CTY ROAD 24 <br /> PLYMOUTH,MN 55447 TOTAL 303.50 <br /> (763)473-3397 <br /> Minnesota State License#: 5358 <br /> OW4ER <br /> LAWTON,W&P <br /> 425 OLD CRYSTAL BAY RD S <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AND SLORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specificatioapplicable City approvals,and the <br /> State Building Code. This permit is r 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 o dinances governing this type of work <br /> shall be contpied with whether or not pecified herein.This permit will <br /> expire and become null and void if struction authorized is not <br /> commenced within 180 days of the a 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 al -quired inspections are <br /> r-•uested i conformance w', :S. • g Code.This permit may be <br /> revok-, .tan is r cue <br /> ss , t '" I G/ /s/ - O j it // / / <br /> 'ermi e ignatu Date Issued Signature eI' ' !ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A:i VE. <br />