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CITY OF ORONO * 2017 - 01585 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/Ol/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 2494616 <br /> ADDRESS 2709 WALTERS PORT LA <br /> PIN 21-117-23-23-0045 <br /> LEGAL DESC WALTERS PORT <br /> LOT 004 BLOCK 003 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 775,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$775,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01586 <br /> APPLICANT ADVANCED PLAN REVIEW 3,297.89 <br /> TOTAL 3,297.89 <br /> DCM CONSTRUCTION Payment(s) <br /> 10231 BEEBE LAKE ROAD CHECK 2509 3,297.89 <br /> HANOVER,MN 55341- <br /> OWNER <br /> DUNKELY,BILL&SUE <br /> 16355 36TH AVE N-SUITE 700 <br /> C/O NEW HORIZON <br /> PLYMOUTH,MN 55446- <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 />