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CITY OF ORONO * z 0 1 3 - 0 0 5 2 B * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/19/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2280 SHADOWOOD DR <br /> PIN : 27-118-23-32-0015 <br /> LEGAL DESC : SHADOWOOD FARM <br /> : LOT 003 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 100,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 100,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00529 <br /> APPLICANT ADVANCED PLAN REVIEW 686.89 <br /> SCHRADER&COMPANIES TOTAL 686.89 <br /> 4725 EXCELSIOR BLVD#300 <br /> ST LOUIS PARK,MN 55416- <br /> (952)465-3582 <br /> Minnesota State License#: BC592473 <br /> OWNER <br /> BEST,WILLIAM&TEDDE <br /> 2280 SHADOWOOD DR <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 additional or related work which requires sepazate <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 all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> l l �!'�`�✓J/�-G�!/� � l` �J l <br /> Applicant Permitee Signature Date Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />