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CITY OF ORONO PERMIT NO.: 2011-01279 <br /> � 2750 KELLEY PARKWAY <br /> � . ORONO, MN 55356- DATE ISSUED: 10/20/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2550 SIXTH AVE N <br /> PIN : 28-118-23-41-0005 <br /> LEGAL DESC : WILLOW RUN <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 30,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 30000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT-PORCH ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-01280 <br /> APPLICANT ADVANCED PLAN REVIEW 303.39 <br /> PINEWSKI BUILDERS TOTAL 303.39 <br /> 13750 CROSSTOWN DR- SUITE 203 <br /> ANDOVER,MN 55304 PAID WITH CC# 7971 <br /> (763)753-5095 <br /> Minnesota State License#: 6859 <br /> OWNER <br /> RICE,EDWARD&TERESA <br /> 2550 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 sepazate <br /> permiu. 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 consWction 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 after work has commenced. <br /> The applicant is responsible for all required inspections aze <br /> requested in confo ce w' ate Building Code.This pertni[may be <br /> revoked at an for e. � <br /> /Di Zo i zol� i i <br /> pplicant Permitee Signature Date Issued By ' ature e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABOV . <br />