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� ' CITY OF ORONO PERMIT NO.: 20��000�� <br /> � ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISsuED: 02/03/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2690 RAINEY RD <br /> PIN : 04-117-23-43-0016 . <br /> LEGAL DESC : TREES TO BE <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 90,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 90,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: GARAGE SCREEN PORCH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2012-00072 <br /> APPLICANT ADVANCED PLAN REVIEW 638.14 <br /> C.T.CONSTRUCTION TOTAL 638.14 <br /> P O BOX 46182 <br /> EDEN PRAIRIE,MN 5�346- PAID WITH CC# 5153 <br /> Minnesota State License#:BC588723 <br /> OWNER <br /> SMITH,JASON&JODY <br /> 2690 RAINEY RD <br /> WAYZATA,MN 55391- <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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type df 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 all 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 /> / / � a..._ <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARA'�E PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />