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•� �' CITY OF ORONO <br /> * 2 0 1 3 — 0 0 3 4 7 * <br /> 2750 KELLEY PARKWAY nATE [ssuEn: OS/13/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1590 LONG LAKE BLVD <br /> PIN : 26-118-23-33-0026 <br /> LEGAL DESC : JOHNSTONS RGT ALBEES LONG LAKE <br /> : LOT 012 BLOCK 000 <br /> PERMIT TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SIDING <br /> ACTIVITY : O/S BUILDING - UNDEFINED <br /> VALUATION : $ 8,000.00 <br /> APPLICANT PERMIT FEE SCHEDULE 162.25 <br /> NAHAS&TIM JORDAN, RABIH STATE SURCHARGE(VALUATION) 4.00 <br /> 1590 LONG LAKE BLVD <br /> LONG LAKE, MN 55356- TOTAL 166.25 <br /> OWNER <br /> NAHAS&TIM JORDAN, RABIH <br /> 1590 LONG LAKE BLVD <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his permi[is issued shall be performed according to <br /> the approved plans and specific�tions,applicable City approvals,and the <br /> Sta[e Building Code. This permit is for only[he work described and does <br /> not grant permission for additional or related work�vhich requires separate <br /> permi[s. 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 construc[ion authorized is no[ <br /> commenced within 1 SO days of the date of issuance,or if construction is <br /> suspended for a period of 180 days a[any time�fter work has commenced. <br /> Tlie�pplicant is responsible for assuring all required inspections are <br /> requested in contb[ur�+ce with[he State Building Code.This permit may be <br /> revoked 1[any me tor due cause. <br /> �----__ � j l l l 7 ��—iY rt�'Ir l l <br /> A p ant Permitee Signature �te Issue� By ignature Date <br /> / <br /> SEPARATE PGRMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE. <br />