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BRIMENEM <br /> CITY OF ORONO ®* 2013 - 0036S *0 1 3 - 0 0 3 6 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/15/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 3760 WATERTOWN RD <br /> PIN 32-118-23-31-0005 <br /> LEGAL DESC HILLAWAY FARM <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 80,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$80,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00366 <br /> APPLICANT ADVANCED PLAN REVIEW 589.39 <br /> CONSTRUCTION RESOURCE TOTAL 589.39 <br /> 15724 115TH AVENUE <br /> LITTLE FALLS,MN PAID WITH CC# 3963 <br /> (763)360-6486 <br /> Minnesota State License#:BC447049 <br /> OWNER <br /> STEPHENSON,REVIS <br /> 3760 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359- <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 da s at any time after work has commenced. <br /> The applicant is responsipm for assurn 1 required inspections are <br /> requested i e ' . g Code.This permit may be <br /> revok t an e ca <br /> s 1 % /3 47 �/ r <br /> Applic e a Date I ed ZBySfg&naatur_e Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />