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` ' � CITY OF ORONO PERMIT NO.: 2o�aoosio <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssuEn: 09/08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2108 SUGARWOOD DR <br /> PIN : 34-118-23-21-0024 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 005 BLOCK 004 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : MOUND SYSTEM-SEPTIC <br /> VALUATION : $ 25,000.00 <br /> APPLICANT pERMIT FEE SCHEDULE 413.00 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 12.50 <br /> 6541 SYCAMORE CT N <br /> MAPLE GROVE,MN 55369- MISC FEE 0.00 <br /> (763)427-9696 TOTAL 425.50 <br /> Minnesota State License#:20637010 <br /> OWNER <br /> RICKS,MICHEAL&JACQUELINE <br /> 2108 SUGARWOOD DR ��3 p� � <br /> LONG LAKE,MN 55356- \�� <br /> V <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 /> permiu. All provisions of laws and ordinances goveming this rype 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 /> suspende or a period of 180 days at any time after work has commenced. <br /> The plican is responsi for assuring all required inspections aze <br /> re uested in nform e with the State Building Code.This permit may be <br /> voked at time r ue cause. <br /> `� l � i � v i i <br /> Appl' t Permitee Signature Date Issued By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABOV . <br />