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� <br /> � CITY OF ORONO PERMIT NO.: 2010-01046 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/28/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2058 SHORELINE DR <br /> PIN : 15-117-23-2]-0003 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW '`� �e��y't <br /> a'- <br /> � ��'IG MtlY .�JS.k'iEl '�.?�.�.",..����-'�_'��. <br /> PROPERTY TYPE : RESIDENTIAL , _� <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW =�'�ipt N�� - �'"' ` <br /> VALUATION : $ 55,000.00 <br /> NOTE: PLEASE FILL 1N THE FOLLOW[NG: <br /> VALUATION OF PERMIT:$ 55,000.00 - <br /> ���, <br /> ;r�i—J4• , <br /> TYPE OF PERMIT THIS PAYMENT IS FOK: REMODEL OF A SUNROOM ;,�p �,;; - -. <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-01045 i+1t3I: �}t <br /> �`�:k N�: 5fi633 r},. <br /> ;or: <br /> ift� 4dater�a <br /> ` �'PAlied: 4b7.5 <br /> '��l: <br /> �,�;;n r,; <br /> APPLICANT ADVANCED PC,AN REVIEW 467.51 <br /> KEITH WATERS& ASSOCIATES TOTAL 467.51 <br /> 6216 BAKER ROAD <br /> SUITE 110 <br /> EDEN PRAIR[E, MN 55346- <br /> Minnesota State License#: 1508 <br /> OWNER <br /> TERRY,JOSEPH& KAIMAY <br /> 5109 R[DGE ROAD <br /> MINNEAPOL[S, MN 55402- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I 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 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 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 atter 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 bc <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />