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CITY OF ORONO * 2012 - 00338 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/30/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4115 WATERTOWN RD <br /> PIN : 31-118-23-41-0014 <br /> LEGAL DESC : MAPLE PLACE 2ND ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 368,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 368000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00339 <br /> APPLICANT ADVANCED PLAN REVIEW 1,732.09 <br /> SAWHORSE INC. <br /> 4740 42ND AVE N. TOTAL 1,732.09 <br /> ROBBINSDALE,MN 55422 PAID WITH CC# 8730 <br /> (763)533-0352 <br /> Minnesota State License#:2382 <br /> OWNER <br /> DYER,MICHEAL&JILL <br /> 4115 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 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 e for cau <br /> -¢ 130 i /2 <br /> A plica Permitee Signatur Date Issued By Si loature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO <br />