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� � CITY OF ORONO PERMIT NO.: 2011-00579 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE Iss[7ED: 07/05/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2850 SOMERSET LA <br /> PIN : 04-117-23-21-0013 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD 2ND ADDN <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE . ��L�i��}1�� <br /> CONSTRUCTIOIv TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 18,000.00 <br /> �-�� N���:.�ab►e <br /> APPLICANT ADVANCED PLAN REVIEW 201.34 <br /> ROBEY CONSTRUCTION LLC <br /> 3806 WESTON AVE TOTAL 201.34 <br /> WOODBURY,MN 55125- PAID WITH CC# 8410 <br /> (6l2)275-4441 <br /> Minnesota State License#:20635859 <br /> OWNER <br /> TRANGSRUD,JON&TERESA <br /> 2850 SOMERSET LA <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for�vhich this pennit 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 separate <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 consVuc[ion is <br /> suspended for a period of 180 days at any time af'ter 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. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Datc <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />