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. , CITY OF ORONO * 2 pJ 1 5 - 0 0 1 5 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/06/2015 <br /> ORONO,MN 55356- � <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1432 SHORELINE DR <br /> p� : 11-117-23-22-0014 ' <br /> City of OronParkwaY <br /> LEGAL DESC : UNPLATTED 11 117 23 2750 Ke11ey55356 952-24g"4600 <br /> : LOT 000 BLOCK 000 Orono MN Feb 6, 2015 <br /> PERMTT TYPE : ADVANCED PLAN REVIEW Receipt No: 3.012763 <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW Gordon James Const ,p0 <br /> VALUATION : $ 150,000.00 Previous Balance: 925.98 <br /> permits <br /> NOTE: PLEASE FILL IN TI-IE FOLLOWING: 2015-00156 <br /> 1p1-34410 _____ <br /> Plan Check/Site Exam Fees________g25 98 <br /> VALUATION OF PERMIT:$ 150,000.00 ________ <br /> Total: ==_-__'____ <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION REMODEL g25.98 <br /> Check 5464 <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00155 Check No: <br /> PaYor: 925.98 <br /> Gordon iaee�s Const _______ <br /> Total App -""--- ,00 <br /> Chan9e Tendered: _�_____________ <br /> , 02/p6/2015 09:53AM <br /> APPLICANT ADVANCED PLAN RE .��, 925.98 <br /> TOTAL 925.98 <br /> GORDON JAMES CONSTRUCTION Payment(s) <br /> 5159 MAIN STREET E CHECK 5464 925.98 <br /> P.O.BOX 306 <br /> MAPLE PLAIN,MN 55359- <br /> (763)479-3117 <br /> Mi:uiesota State License#:BUIL-20531961 <br /> OWNER <br /> BORN,LAUREN&JOYCE <br /> 1432 SHORELINE DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> T'he 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 additiona!or related work which requires separate <br /> permits. All provisions of la and ordinances governing this type of work <br /> shall be compied with wh r or not specified herein This permit will <br /> expire and become null en void if construction authorized is not <br /> commenced within 1$0 , ys of the date of issuance,or if construction is <br /> suspended for a per�Sd o3'180 days at any time after work has commenced. <br /> T'he applicant i�spo f ible for assuring all required inspections are <br /> rec�yest�3in copfo ce with th tate Building Code.This permit may be <br /> re`voked at an ti 'for due caus G `^ <br /> �- � �� �- � �,�. L.. LL��-vt c�._dt � � (s� � <br /> Applicant e e Signature at Issued By ignahue Date <br /> i <br />