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CITY OF ORONO * Z 0 1 6 - 0 0 3 1 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/3U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2345 BLAINE AVE <br /> PIN : 17-117-23-34-0011 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 009 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 3,871.00 <br /> NOTE: ASPHALT REROOF OF THE WATER PLANT GARAGE <br /> APPLICANT PERMIT FEE SCHEDULE <br /> GC BUILDERS INC TOTAL <br /> 7170 UNION AVE <br /> MAYER, MN 55360- <br /> (952)457-5303 <br /> Minnesota State License#: BUIL-20626549 <br /> OWNER <br /> (WELL NO. 3 PUMPHOUSE),CITY OF ORONO <br /> 2345 BLAINE AVE <br /> PO BOX 66 <br /> CRYSTAL BAY,MN 55323- <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 separate <br /> permits. All provisions of laws and ordinances goveming this type 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 iY 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />