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CITY OF ORONO PERMIT NO.: 2009-00328 <br /> � . , 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE IssuED: 06/17/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1509 LONG LAKE BLVD <br /> PIN : 35-118-23-22-0003 <br /> LEGAL DESC : ALBEES LONG LAKE ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 7,500.00 <br /> NOTE: SEPERATE PERMITS REQUIRED: PLUMBING,MECHAN[CAL,FIREPLACE,ELECTRICAL(STATE) <br /> KITCHEN AND BATHROOM REMODEL. <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> CASHMAN, THOMAS STATE SURCHARGE(VALUATION) 3.75 <br /> 1509 LONG LAKE BLVD TOTAL 166.00 <br /> LONG LAKE, MN 55356 <br /> OWNER <br /> CASHMAN, THOMAS <br /> 1509 LONG LAKE BLVD <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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 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 /> commenced within 180 days of the date of issuance,or if consVuction 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 conformance with the State Building Code.This permit may be <br /> r o ed at an time for cause. <br /> � � � �i /?/ C] <br /> Applic ermitee Signature Date Issue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />