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CITY OF ORONO PERMIT NO.: 2011-00319 <br /> a. <br /> ., 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SSUED: 05/10/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 769 BOULDER DR <br /> PIN : 33-118-23-11-0007 <br /> LEGAL DESC : STONEBAY <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING-ASPHALT <br /> ACTIVITY : O/S BUILDING -UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> MIDWEST SID[NG ROOFING & WINDOWS STATE SURCHARGE(VALUATION) 4.00 <br /> 6451 SYCAMORE CT N <br /> MAPLE GROVE, MN 55369- MISC FEE 0.00 <br /> Minnesota State License#:20010277 TOTAL 166.25 <br /> OWNER <br /> MELIUS, MATTHEW S <br /> 769 BOULDER DR <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performcd according to <br /> the approved plans and specifications,applicable Ciry approvals,and the <br /> State Building Code. This pennit is for only thc 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 datc of issuance,or if construction is <br /> suspended for a period of 180 days at any time aftcr work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Duilding Code.This permit may be <br /> re �ed at any ime for due cause. <br /> .���� � / <� / /� <br /> / / <br /> Applicant Permitec Signature Date Issu y ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO <br />