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CITY OF ORONO PERMIT NO.: 2010-00872 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 09/21/2010 <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 890 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-12-0008 <br /> LEGAL DESC : FRENCH CREEK WOODS <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION $ 24,600.00 <br /> APPLICANT PERMIT FEE SCHEDULE 413.00 <br /> WESTURN CEDAR SUPPLY, INC. STATE SURCHARGE(VALUATION) 12.30 <br /> 9700 13TH AVENUE N. <br /> PLYMOUTH,MN 55441- MISC FEE 0.00 <br /> (763)541-0304 TOTAL 425.30 <br /> Minnesota State License#:20155566 <br /> OWNER <br /> TROUP,JOHN&MARGARET <br /> 890 OLD CRYSTAL BAY RD S <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 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 • assuring all required inspections are <br /> requested in confo ance ,ith the State Building Code.This permit may be <br /> revoked at any t - i <br /> li_ 9 0 <br /> A.pllo.. Perm' ee Signature Date Issued By ature RI Date <br /> � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO L. <br />