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CITY OF ORONO li 111111111 II III II II IIII III U <br /> * 2017 - 004 10 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/25/2017 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 625 OLD LONG LAKE RD <br /> PIN : 36-118-23-32-0003 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : 0/S BUILDING-UNDEFINED <br /> VALUATION : $ 35,000.00 <br /> NOTE: REPLACE SIDING,SOFFIT,FASCIA AND SELECT WINDOWS AND DOORS <br /> APPLICANT PERMIT FEE SCHEDULE 546.57 <br /> ALLSTAR CONST&MAINTENA E,LLC STATE SURCHARGE(VALUATION) 17.50 <br /> O ILAIL-IN FEE 2.00 <br /> 5145 INDUSTRIAL ST <br /> SUITE 103 TOTAL 566.07 <br /> MAPLE PLAIN,MN 55359- Payment(s) <br /> (763)479-8700 0c`1l.9to/47-5 CREDIT CARD 9070 566.07 <br /> Minnesota State License#: BUIL- C690350 6,Lrree-1-6-b <br /> OWNER <br /> LONG, BILL&MARTHA <br /> 625 OLD 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 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 /> fr*i a-c, to is ,a5, /7 <br /> Applicant Permitee Signature Date Iss -•0.ignature Date <br />