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CITY OF ORONO * 2 pJ 1 6 - 0 1 5 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/28/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS : 1280 SPRUCE PL <br /> PIN : 08-117-23-32-0027 <br /> LEGAL DESC : N/A <br /> : LOT MB BLOCK O10 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 200,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$200,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01575 <br /> APPLICANT ADVANCED PLAN REVIEW 1,130.95 <br /> TOTAL 1,130.95 <br /> REVISION LLC Payment(s) <br /> 153 E LAKE STREET CHECK 12919 1,130.95 <br /> WAYZATA,MN 55391- <br /> (952)540-7150 <br /> Minnesota State License#:BUIL-BC639027 <br /> OWI�IER • <br /> RYAN,JOHN <br /> 1280 SPRUCE PL <br /> MOiJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 /> 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 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 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 Date <br />