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CITY OF ORONO * z 0 1 3 - 0 0 1 2 5 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 02/2U2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4300 SIXTH AVE N <br /> PIN : 31-]18-23-12-0022 <br /> LEGAL DESC : SHARON HILLS <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> � <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 600,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 600,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00126 <br /> APPLICANT ADVANCED PLAN REVIEW 2,571.89 <br /> PAULSON CONSTRUCTION TOTAL 2,571.89 <br /> 866 RIVER LANE <br /> ANOKA,MN 55303- <br /> (763)786-0272 <br /> Minnesota State License#: 6329 <br /> OWNER <br /> GEHRMAN,ROBERT&MARILYN <br /> 4300 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 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 /> reques i c ce with the State Building Code.This permit may be <br /> revok d im fo due cause. <br /> � / / (�'�V�'�—✓�_ / / <br /> Appl�cant Permitee Signature Date Issued gnature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />