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� • CITY OF ORONO PERMIT NO.: 2010-00964 <br /> 2750 KELLEY PARKWAY <br /> ' ORONO, MN 55356- DATE IssoED: 10/07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1860 LAKEVIEW TER <br /> PIN : 27-118-23-42-0009 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-LJNDEFINED <br /> VALUATION : $ 5,500.00 <br /> APPLICANT pERMIT FEE SCHEDULE 132J5 <br /> MIDWEST ROOFING STATE SURCHARGE(VALUATION) 5.00 <br /> 6541 SYCAMORE CT N <br /> MAPLE GROVE,MN 55369- MISC FEE 0.00 <br /> (763)427-9696 TOTAL 137.75 <br /> Minnesota State License#:20637010 <br /> OWNER <br /> LEWIS,CHRISTOPHER&JODI <br /> 1860 LAKEVIEW TER <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 goveming 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 fbr a period of 80 days at any time after work has commenced. <br /> The applicant is Xesponsi te for assuring all required inspections aze <br /> requ�sted in conformanc with the State Building Code.This permit may be <br /> revdked at any hime for u cause. <br /> ," !), <br /> � � � � / / <br /> Applicant ermitee ignature Date Issued By S' ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />