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CITY OF ORONO * Z QJ 1 3 - 0 1 1 5 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/30/2013 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3515 SIXTH AVE N <br /> PIN : 29-118-23-43-0002 <br /> LEGAL DESC : LJNPLATTED 29 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 40,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 40000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01156 <br /> APPLICANT ADVANCED PLAN REVIEW 373.26 <br /> MITTELSTAEDT INC TOTAL 373.26 <br /> 11730 BRADDOCK AVE SE <br /> P O BOX 454 <br /> WATERTOWN,MN 55388- ��-- <br /> (612)716-9595 <br /> Minnesota State License#:20012394 <br /> OWNER <br /> PETERSON,DALE&DIANE <br /> 3515 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 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 /> 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 t any time after work has commenced. <br /> The applicant is responsibl or t required inspections are <br /> requested in c e B ' Code.This permit may be <br /> revoke any ' or <br /> '� i� i i <br /> A t rmite atu Date Issued y i ature te <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABO E. <br />