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• CITY OF ORONO II I '� <br /> * <br /> 2750 KELLEY PARKWAY * 20 1 4 - 003 7 <br /> DATE ISSUED: 04/25/22 014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1100 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-14-0001 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-OTHER <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 38,000.00 <br /> NOTE: EPDM ROOF <br /> APPLICANT PERMIT FEE SCHEDULE 552.75 <br /> STATE SURCHARGE(VALUATION) 19.00 <br /> GARLOCK-FRENCH ROOFING CORP MAIL-IN FEE 2.00 <br /> 2301 EAST 25TH STREET <br /> MINNEAPOLIS,MN 55406- TOTAL 573.75 <br /> (612)722-7129 Payment(s) <br /> Minnesota State License#: BUIL-0001423 CREDIT CARD 1130 573.75 <br /> OWNER <br /> GRAHAM,ROBERT GUMNIT AND FRANCES <br /> P.O.BOX 85 <br /> CRYSTAL BAY,MN 55323- <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 responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> CWLee T2tli , ' <br /> 64.237/?/ <br /> Applicant Permitee Signatur DatE Issued1''y Signature Date <br />