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CITY OF ORONO PERMiT NO.: 2010-00805 <br /> _� 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE ISSUEv: 09/07/2010 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1405 SIXTH AVE N <br /> PIN : 35-118-23-22-0006 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.291 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERAT[ONS <br /> PROPERTY TYPE : RES[DENTIAL <br /> CONSTRUCTION TYPE : ROOFING-CEDAR <br /> ACTIVITY : O/S BUILD[NG-UNDEFINED <br /> VALUATION : $ 47,028.00 <br /> APPLICAI�IT PERMIT FEE SCHEDULE 660.25 <br /> ALL SEASON REMODEL[NG &EXTERIORS STATE SURCHARGE(VALUATION) 23.51 <br /> 17344 PUMA ST. NW <br /> RAMSEY, MN 55303 MISC FEE 0.00 <br /> (612)221-3318 TOTAL 683.76 <br /> Minnesota State License#: 20388311 <br /> OWNER <br /> CROTTEAU,JOHN&DONNA <br /> 1405 SIXTH AVE N <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 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 if construction is <br /> suspended for a period of 180 days at any[ime after work has commenced. <br /> The applicant is responsible for as ring aIl required inspections are <br /> requested in nfor nce w�h t State Building Code.This permit may bc <br /> revoked a y yni for e c,a � <br /> �%�� �`� L �� i % i �« ���_ i i <br /> App icant Permitee Signature Date Issued By i nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />