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" + CITY OF ORONO PERMIT NO.: 2010.00997 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUEn: 10/20/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3675 JACOBS MILL RD <br /> PIN : 32-118-23-24-0012 <br /> LEGAL DESC : JACOBS MILL <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ADDITION/REMODEL/REPAIR <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADDN/REMODEL/REPAIR <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 50,000.00 <br /> NOTE: NEW SIDING AND COVERED ENTRY <br /> APPLICANT pERMIT FEE SCHEDULE 681.75 <br /> AMENT,JEFFREY&KARI PLAN REVIEW 443.14 <br /> 3675 JACOBS MILL RD <br /> LONG LAKE,MN 55356 STATE SURCHARGE(VALUATION) 25.00 <br /> TOTAL 1,149.89 <br /> OWNER <br /> AMENT,JEFFREY&KARI <br /> 3675 JACOBS MILL RD <br /> LONG LAKE,MN 55356 <br /> AGREEMENT AND SWORI�i 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 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 construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring a11 required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � ��'Z`c� i � /Di oi /v <br /> Applicant Permitee ignature Date Iss d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />