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CITY OF ORONO PERMIT NO.: 2010-00053 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02103/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 2/3/2010 <br /> ADDRESS 3020 WATERTOWN RD <br /> PIN 33-118-23-33-0001 <br /> LEGAL DESC UNPLATTED 33 118 23 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MINOR ALTERATIONS <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ROOFING-ASPHALT <br /> ACTIVITY O/S BUILDING-UNDEFINED <br /> VALUATION $ 35,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 520.50 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 17.50 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 TOTAL 538.00 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#: 3247 <br /> OWNER <br /> RENCKENS,DEBRA A <br /> 3020 WATERTOWN RD <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 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 /> Applicant Permitee Signature DateIssued By S@nature Wr±ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />