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� CITY OF ORONO * z 0 1 z - 0 0 z 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/23/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2695 COUNTRYSIDE DR W <br /> PIN : 04-117-23-13-0005 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-OTHER <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 10,000.00 <br /> NOTG: VALUAT[ON OF JOB:$10,000.00-OK'D&VERIFIEU BY WILLIE GIBBS <br /> REMOVE&REPLACE COPPER ROOF, SOFFIT&FAC1A&REPAIR STUCCO <br /> APPLICANT PERMIT FEE SCHEDULE 191.75 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 5.00 <br /> 5145 INDUSTRIAL ST TOTAL 196.75 <br /> SUITE 103 <br /> MAPLE PLAIN, MN 55359 �it��p or uranu <br /> 2750 Kellev ParkNay <br /> (763)479-8700 Orono �Pl 55356 95�-�49-4Gui� <br /> Minnesota State License#: 20631574 <br /> Aeceipt No: 3.00657b Mar 23, �Uic <br /> OWNER <br /> BICKETT, SCOTT& HOLLY Allstar Construction <br /> 2695 COUNTRYSIDE DR W <br /> LONG LAKE, MN 55356- Previaus Balance: �� <br /> (�ermits <br /> 2012-00216 2595 191.?5 <br /> Countryside Dr N <br /> ACREEMENT AND SWORN STATEMENT 1�1-32510 <br /> building Per�its <br /> "fhc work for���hich this permit is issued shall bc performed according to �'�t^�1t5 <br /> the approved plans and specifications,applicable City approvals,and the �1�—��ib �c'69� �•��% <br /> State Building Code. This permit is Yor only the work described and does Countr side Dr W <br /> not grant permission for additional or related work which requires separate 1�1-24�4� <br /> permits. All provisions of laws and ordinances governing this type of work DUE t� gavts-5tate <br /> -------------- <br /> shall be compied with whether or not specified herein.This permit will ��b.�� <br /> expire and become null and void if construction authorized is not Tatal: <br /> commenced within 180 days of the date of issuance,or if construction is ���k --_�-�--��— <br /> suspended for a period of 180 days at any time afrer work has commenced. ��k �� g�5 196.�5 <br /> The a ieant is responsible for assuring all required inspections are p� �r: <br /> req�ed in c formance with the State E3uilding Code.This permit may be pj�star Construet irr, <br /> re o d at y time for due cause. 1 at,j� <br /> Total �lpplied: <br /> 3,Z-.3 ,/ � � �;—:-�,�,c � ,�� -� <br /> ' -�-�--� � �=� � �. j <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />