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CITY OF ORONO * Z 0 1 5 - 0 0 7 6 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/15/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1910 SHORELINE DR <br /> PIN : 10-117-23-42-0017 <br /> LEGAL DESC : REG. LAND SURVEY NO.0096 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REV[EW <br /> VALUATION : $ 93,500.00 <br /> NOTE: PLEASE F[LL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 690.66 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00760 <br /> APPLICANT ADVANCED PLAN REVIEW 690.66 <br /> SMUCKLER CUSTOM BUILDERS, INC. TOTAL 690.66 <br /> Payment(s) <br /> 7509 WASHINGTON AVE. S. CREDIT CARD 1632 690.66 <br /> EDINA, MN 55439- <br /> (952)828-1908 <br /> Minnesota State License#: BUIL-20384253 <br /> OWNER <br /> & HALIMEH MOUSAVINASAB, MAJID FEHRESTI <br /> 1910 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 zpproved 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 governing this type of work <br /> shall be compied with whether or no[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 an time for due cause. <br /> / /Z� /�5 <br /> � , ���//� �� � <br /> Applicant Permitee Signature Date Issued By ' ature Date <br />