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CITY OF ORONO PERMIT NO.: 2010-01001 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 10/14/2010 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 40 TRUFFULA TR <br /> PIN 33-118-23-44-0035 <br /> LEGAL DESC MEADOW WOOD POND <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-ASPHALT <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 9,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 177.00 <br /> MIDWEST ROOFING <br /> 6541 SYCAMORE CT N STATE SURCHARGE(VALUATION) 5.00 <br /> MAPLE GROVE,MN 55369- MISC FEE 0.00 <br /> (763)427-9696 TOTAL 182.00 <br /> Minnesota State License#:20637010 <br /> OWNER <br /> ACOSTA,LUIS&VERONICA <br /> 40 TRUFFULA TR <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 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 time after work has commenced. <br /> The appy �s ponsible for assuring all required inspections are <br /> reque ed in confo ance with the State Building Code.This permit may be <br /> rev ed at any ti for due cause. <br /> tc--" / /` l D- - <br /> l l <br /> Applicant rmitee Signature Date Issued By Signa re D to <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THWN DESCRIBED A O . <br />