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� � CITY OF ORONO PERMIT NO.: 2010-00305 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE 1SSUED: OS/OS/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2060 SPATES AVE <br /> PI N : 10-117-23-31-0096 <br /> LEGAL DESC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 107,500.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 107500.00 <br /> TYPE OF PERMIT THIS PAYMENT IS POR: BUILDING � <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00306 <br /> APPLICANT ADVANCED PLAN REVIEW 718.09 <br /> INTEGRITY REMODELING&DESIGN GROUP TOTAL 718.09 <br /> 6569 CITY WEST PARKWAY <br /> EDEN PRAIRIE,MN 55344- PAID WITH CC# 1930 <br /> Minnesota State License#: 20630478 <br /> . . . r;E:iey r'3t' <br /> 1N�1 cc'+cC,--�' - . <br /> . .tk�J !'fiM JJSJU :�J:.-t;.'.ti �_.., <br /> OWNER =i;,t iVo: ,i.UG�5u3 �'�y t��, ._.. . <br /> HANSON, MATTHEW&JAMIE <br /> 2060 SPATES AVE `=�;�;' ��'�'���=�i*+c r L`e. : <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT -3441t� <br /> The work for which this permit is issued shall be performed according to <br /> �;t; Check/5ite E�am F.: <br /> the approved plans and specifica[ions,applicable City approvals,and the - _;i� ��1� <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 _�ilt �dt'u� �1�.'.: <br /> permits. All provisions of laws and ordinances governing this type of work 3}'Gt': <br /> shall be compied with whether or not specified herein.This permit will _r�te rity Rem��det ir�g 8� Desigr� <br /> expire and become null and void ifconstruction authorized is not :'d1 �Qpxi�: 71�#. :. <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. ;�`,�i_ T�r�'�t'2�: <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 /> � at ime for �e caus�. . <br /> ✓�— �� / / / <br /> Applicant Permi ature Date Issued B gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />