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CITY OF ORONO PERMIT NO.: 2010-00975 <br /> f . 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE [sSUEn: 10/1 U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 908 DAKOTA AVE <br /> PIN : 26-118-23-33-0022 <br /> LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE <br /> : LOT 007 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOl�1 TYPE : ROOFING -ASPHALT <br /> ACTIVITY : O/S BUILDING - LINDEFINED <br /> VALUAT[ON : $ 5,300.00 <br /> NOTE: T�AR OPF REROOF-ASPHALT SHINGI.ES <br /> � <br /> APPLICAI�IT PERMIT FEE SCHEDULE 132.75 <br /> W. F. SMITH CONSTRUCT[ON STATE SURCHARGE(VALUAT[ON) 5.00 <br /> 6585 SO SAUNDERS LAKE DRIVE TOTAL 137.75 <br /> MINNETRISTA, MN 55364- <br /> (6l2) 867-3117 <br /> Minnesota State License#: 5309 <br /> OWNER <br /> KNUTSON, SCOTT&JULIE <br /> 908 DAKOTA AVE <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> "I'he�vork for���hich this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State[3uilding Code. "I'his permit is for only the work described and docs <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 /> commenccd within 180 days of the date of issuance,or if construction is <br /> suspended for a period ot�180 days at any timc atter work has commenced. <br /> The applicant is responsible tor assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revokcd at a y tim or due cause. <br /> o- ��l � IU �_ /O/ /// /d <br /> Ap icant Pcrmitee Signature Date Issu y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />