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CITY OF ORONO * 2 0 1 5 - 0 1 5 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/17/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2010 SUGARWOOD DR <br /> PIN : 34-118-23-21-0007 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 61,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$61000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BATHROOM REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01578 <br /> APPLICANT ADVANCED PLAN REVIEW 521.69 <br /> GITTLEMAN CONSTRUCTION TOTAL 521.69 <br /> 1801 AMERICAN BLVD#21 Payment(s) <br /> CREDIT CARD 3322 521.69 <br /> BLOOMINGTON,MN 55431- <br /> (952)567-2017 <br /> Minnesota State License#:BUIL-BC635989 <br /> OWNER <br /> MESHBESHER,RONALD&KIMBERLY <br /> 2010 SUGARWOOD DR <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 dces <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 at any time after work has commenced. <br /> The app(icant 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 />