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., CITY OF ORONO PERMIT NO.: 2010-01106 <br /> � 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 1 U10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 400 STUBBS BAY RD N <br /> PIN : 32-118-23-42-0001 <br /> LEGAL DESC : LJNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTNITY : O/S BUILDING-LINDEFINED <br /> VALUATION : $ 6,000.00 <br /> APPLICANT pERMIT FEE SCHEDULE 132.75 <br /> GC BUILDERS INC STATE SURCHARGE(VALUATION) 5.00 <br /> 7170 UNION AVE <br /> MAYER,MN 55360- MISC FEE 0.00 <br /> (952)457-5303 TOTAL 137.75 <br /> Minnesota State License#:20626549 <br /> OWNER <br /> STUBBS,RICHARD <br /> 400 STUBBS BAY RD 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 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 sepazate <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 time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any tim for e cause. <br /> � l l /O l a0/�} ��iY�_ l l <br /> ant Pe �ee ignature Date Issued By S' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />