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CITY OF ORONO PERMIT NO.:�2011-00131 <br /> � � 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- DATE IssuEn: 02/28/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1305 SIXTH AVE N <br /> PIN : 26-118-23-34-0004 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.291 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 320,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 320000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:20 1 1-00 1 3 2 <br /> APPLICANT ADVANCED PLAN REVIEW 1,544.89 <br /> ANDERSON WOODCRAFT INC. TOTAL 1,544.89 <br /> 1438 85TH ST NW <br /> BUFFALO,MN 55313 <br /> (612)308-2722 <br /> ` Minnesota State License#: 20229148 <br /> OWNER <br /> DAYTON,MARY <br /> 1305 SIXTH AVE N <br /> LONG LAKE,MN 55356- <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 Ciry 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 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 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 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 />