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� CITY OF ORONO PERMIT NO.: 2010-00671 <br /> ,� 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuEn: 08/05/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 450 EAST LONG LAKE RD <br /> PIN : 35-118-23-14-0009 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> COI�TSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 7,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 147.50 <br /> PRO CUSTOM BUILDERS STATE SURCHARGE(VALUATION) 5.00 <br /> 16231 S. HILLCREST CT <br /> EDEN PRAIRIE,MN 55346- MISC FEE 0.00 <br /> (952)949-8692 TOTAL 152.50 <br /> Minnesota State License#: 20593782 <br /> OWNER <br /> HAMMAN, BETTY <br /> 450 EAST LONG LAKE RD <br /> WAYZATA, MN 55391- <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 Cocle. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. AlI 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 an time for due cause. <br /> . � �� <br /> �+;� .,4!.:r �_� '� ;i . ��` i . c_. <br /> ✓.� . ,,_. � � ' � �- (j �� l�Yl'11.�l7 � �� 1.� �ri <br /> Ap ca t Permitee Signature Date Issued By Signahi�ie �� Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />