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' CITY OF OR NO PERrn�T No.: 2oio-oil�a <br /> ' 2750 KELLEY PA WAY <br /> ORONO, MN 55 56- DATE �SSUE�: 12/06/2010 <br /> 952 249-4600 FAX: 9 2 249-4616 <br /> ADDRESS : 4245 BAYSIDE RD <br /> PIN : 06-117-23-13-0001 <br /> LEGAL DESC : UNPLATTED 06 1 17 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATIOIY : $ 18,000.00 <br /> APPLICANT PERMIT EE SCHEDULE 309.75 <br /> INCLWE ENTERPRISES 1NC STATE S RCHARGE(VALUATION) 9.00 <br /> 26175 BIRCH BLUFF RD <br /> SHOREWOOD, MN 55331 TOTAL 318.75 <br /> �612)471-9065 <br /> Minnesota State License#: 20168831 <br /> OWNER <br /> WHITE, GREC & AVIS <br /> PO BOX 375 <br /> LONG LAKE, MN 55356-0375 <br /> AGREEMENT AND SWORN STATEMENT <br /> `Che�vork tbr which Uiis permit is issued shall bc perfonned according to <br /> the approved plans�nd specifications,applicable Cit��approvals,and the <br /> State Building Code. "fhis permit is for only the���ork described and docs <br /> not grant pernvssion lor additional or related���ork�vhich requires separatc <br /> permits. All provisions of la���s and ordinances governing this type of work <br /> shall be compied�vith N�hether or not specified hercin."I�his permit will <br /> e�pire and become null and void if construction authorized is not <br /> commenced within 180 days ofthe date of issuance,or if construction is <br /> suspended for a period of I days at any time after work has commenced. <br /> "I'he applicant i responsi e for assuri II required inspections are <br /> requested in c nformanc �yith the St e uildin�Code.This permit may be � <br /> revoked at a time for d cause. > <br /> � ° � � �, �� � ( ��'l�l(� t1'� �� �� _� �� <br /> � � � <br /> Appl,lcant Pen itee Signaturc Datc Issue I3 Si nature Date <br /> � Y g <br /> SEPARATE PERMITS REQUIRED FOR WORK OT ER THAN DESCRIBED ABOVE. <br />