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� CITY OF ORONO <br /> '" * 2015 - 008B5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/16/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1432 SHORELINE DR <br /> pIN : 11-117-23-22-0014 <br /> LEGAL DESC : LJNPLATTED 11 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 150,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 150,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL <br /> PERMIT#THIS PR�PAYMENT IS TIED TO:2015-00884 <br /> APPLICANT ADVANCED PLAN REVIEW 925.98 <br /> TOTAL 925.98 <br /> S.J.FISHER CONSTRUCTION Payment(s) <br /> 70 FLORENCE DRIVE CHECK 1496 925.98 <br /> TONKA BAY,MN 55331- <br /> (952)474-6976 <br /> Minnesota State License#:BUIL-BC626515 <br /> OWNER <br /> BORN,LAUREN&JOYCE <br /> 1432 SHORELINE DR <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 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 hereia 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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />