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CITY OF ORONO PERMIT NO.: 2010-00685 <br /> • 2750 KELLEY PARKWAY <br /> " ORONO, MN 55356- �ATE IssuED: 08/09/2010 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1900 LAKEVIEW TER <br /> PIN : 27-118-23-42-0008 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATION : $ 12,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 221.25 <br /> ALLSTAR CONSTRUCTION STATE SURCHARGE(VALUATION) 6.00 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 TOTAL 227.25 <br /> MAPLE PLAIN,MN 55359 <br /> (763)479-8700 <br /> Minnesota State License#:20631574 <br /> OWNER <br /> KOSCIOLEK,MR. &MRS. <br /> 1900 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 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 /> request in conformance with the State Building Code.This permit may be <br /> revoke any time o due ause. � , <br /> d�1� �y t f —(U <br /> d; <br /> (� l l�v �_ ( C�yy��C��'( / � / <br /> Applica t Permite Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />