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CITY OF ORONO rERM�T No.: 2oii-oo323 <br /> 2750 KELLEY PARKWAY <br /> � � �` ORONO, MN 55356- �ATE IssUEu: OS/1U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 754 BOULDER DR <br /> PIN : 33-118-23-11-0014 <br /> LEGAL DESC : STONEBAY <br /> : LOT O11 BLOCK OOl <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> NO"I'F,: 'I'EAR OFF REROOF <br /> APPLICANT PERMIT FEE SCHEDULE 16225 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 4.00 <br /> 6541 SYCAMORE CT N TOTAL 166.25 <br /> MAPLE GROVE, MN 55369- <br /> (763)427-9696 <br /> Miilnesota State License#: 20637010 <br /> OWNER <br /> LUKE, DUANE&NANCY <br /> 754 BOULDER DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> I'he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commcnced 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 coniormance with the State Building Code.This permit may be <br /> revoked�1 �'any time for due cause. _� � � �� <br /> l , , <br /> Ap icant Permitee Signature Date Issued By i nature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />