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� CITY OF ORONO PERMIT NO.: 2010-00801 <br /> • 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2140 SALEM CT <br /> PIN : 27-118-23-31-0012 <br /> LEGAL DESC : DICKEY LAKE ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOF[NG-CEDAR <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 22,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 368.75 <br /> KUHL DESIGN & BUILD, LLC STATE SURCHARGE(VALUATION) 11.00 <br /> 1515 STH STREET SOUTH <br /> HOPKINS, MN 55343- MISC FEE 0.00 <br /> (952)935-9469 TOTAL 379.75 <br /> Minnesota State License#: 20195769 <br /> OWNER <br /> JOHNSTON, CHRISTOPHER& LYNN <br /> 2140 SALEM CT <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc 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 E3uilding 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 specitied 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 /> 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�ime for due cause. <br /> �.��--{�y�i�� c�� �p� l/�; <br /> / / <br /> Applicant Permitee Signature Date Issued By i nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />