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s • <br /> CITY OF ORONO * 20 1 6 - 00 13 5 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/10/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 755 TONKAWA RD <br /> PIN 05-117-23-33-0003 <br /> LEGAL DESC AUDITOR'S SUBD.NO.217 <br /> LOT 001 BLOCK 000 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : S 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: INTERIOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00136 <br /> APPLICANT ADVANCED PLAN REVIEW 1,130.95 <br /> TOTAL 1,130.95 <br /> WELCH FORSMAN ASSOCIATION Payment(s) <br /> 6026 PILLSBURY AVE S CREDIT CARD 6322 1,130.95 <br /> MINNEAPOLIS,MN 55402- <br /> (612)827-4455 <br /> Minnesota State License#:BUIL-BC005890 <br /> OWNER <br /> SARAH BUSTON,JULIE BROWN <br /> 755 TONKAWA RD <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 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 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />