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CITY OF ORONO * 2 0 1 7 - 0 0 7 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/OS/2017 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2090 SHORELINE DR <br /> PIN : 15-117-23-23-0001 <br /> LEGAL DESC : LTNPLATTED 15 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 650,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$650,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00750 <br /> APPLICANT ADVANCED PLAN REVIEW 2,87132 <br /> G.S.MEICHELS CONST. TOTAL 2,871.32 <br /> 4715 13TH AVE S Payment(s) <br /> MINNEAPOLIS,MN 55407- CREDIT CARD 9942 2,871.32 <br /> (612)210-2286 <br /> Minnesota State License#: BUIL-CR006457 <br /> OWNER <br /> HEAD,MARTHA <br /> 1616 W.22ND STREET <br /> MINNEAPOLIS,MN 55405- <br /> AGREEMENT AND SWORN STATEME1vT <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 dces <br /> not grant permission for additionat 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 a8er 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. r <br /> �� 5z ��s �l� <br /> Applicant Permitee Signature Date Issued B ignature Date <br />