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, CITY OF ORONO * 2 PJ 1 4 - P1 1 4 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/18/2014 <br /> . ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3382 SHORELINE DR <br /> PIN : 17-117-23-44-0100 <br /> LEGAL DESC : TOWNSITL;OF LANGDON PARK <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : COMMERCIAL- BUSINESS <br /> CONSTRUCTION TYPE : ROOFING- RUBBER <br /> ACTIV[TY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 17,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 295.00 <br /> STATE SURCHARGE(VALUATION) 8.50 <br /> FORCIER MARTY ROOFING TOTAL 303.50 <br /> P.O.BOX 243 Payment(s) <br /> HUTCHINSON, MN 55350- <br /> (320)587-8415 CASH 303.50 <br /> OWNER <br /> Narrows LLC <br /> PO BOX 36 <br /> NAVARRE, MN 55392- <br /> AGREEMENT AND SWORN STATEMENT <br /> fhe 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 E3uilding Code. This permit is for only Uie��ork describcd and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances noverning diis type of work <br /> shall be compied with whether or not specified herein.This permil will <br /> expire and become null and void if cons[ruction authorized is not <br /> commenced within 180 days of the date of issuanee,or if construction is <br /> suspended for a period of 180 daqs at any time afier 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 /> i � � <br /> � /� L � l. <br /> �� �, <br /> Ap �icant Permitee Signature Date Issued By Signature Date <br /> I <br /> f <br /> t <br />