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CITY OF ORONO PERMIT NO.: 2010-01127 <br /> , 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE ISSUEn: 1 U17/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2020 SALEM CT <br /> PIN : 27-118-23-31-0015 <br /> LEGAL DESC : DICKEY LAKE ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> - PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTNITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 31,500.00 <br /> APPLICANT pERMIT FEE SCHEDULE 488.25 <br /> TIMBERLINE EXTERIORS,INC. STATE SURCHARGE(VALUATION) 15.75 <br /> 7026 E FISH LAKE ROAD <br /> MAPLE GROVE,MN 55311- TOTAL 504.00 <br /> (651)329-6916 <br /> Minnesota State License#:20633887 <br /> OWNER <br /> STIPAKOV,IZABELLA <br /> 2020 SALEM CT <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 sepazate <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 responsibje for assu ing all required inspections are <br /> requested in confo an with e tate Building Code.This permit may be <br /> revoked at ti e f due c s . <br /> ✓ J , / / / ' / `� / / <br /> Ap e itee Signat ate Issued By nature Date <br /> ; PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br /> , <br />