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CITY OF ORONO PERMIT NO.: 20�o-oosoa <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE IssUEn: 09/07/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1575 LONG LAKE BLVD <br /> PIN : 26-1 18-23-33-001 l <br /> LEGAL DESC : ALBEES LONG LAKE ADDN <br /> : LOT 000 BLOCK 000 <br /> PERM[T TYPE : MINOR ALTERATIONS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ROOFING -CEDAR <br /> ACTIVITY : O/S BUILDING-UNDEFINED <br /> VALUATIOI�I : $ 15,100.00 <br /> APPLICANT pERM[T FEE SCHEDULE 28025 <br /> ALL SEASON REMODELING& EXTERIORS STATE SURCHARGE(VALUATION) 7.55 <br /> 17344 PUMA ST.NW <br /> RAMSEY, MN 55303 MISC FEE 0.00 <br /> (612)221-3318 TOTAL 287.80 <br /> Minnesota State License#: 20388311 <br /> OWIYER <br /> CLARK,TERRY <br /> 1575 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 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 additionai 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 specitied 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 p riod of 180 days at any time after work has commenced. <br /> The applic t is sponsible fo assuring all required inspections are <br /> requeste � con ormance wi the State Building Code.This permit may be <br /> revoked t ny me fo Ue ause. <br /> � CJI P�`-�'�►'l <br /> / � C�/ '— / /c% / / <br /> Ap ica �ee ignature Date Issued By Sig ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />