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CITY OF ORONO * 2014 - 00609 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/17/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS 3955 WATERTOWN RD <br /> PIN 32-118-23-32-0004 <br /> LEGAL DESC UNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 320,750.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$320,750.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FORNEW STRUCTURE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00610 <br /> APPLICANT ADVANCED PLAN REVIEW 1,548.79 <br /> PILLAR HOMES Payment(s) TOTAL 1,548.79 <br /> 1700 NIAGARA LANE N CHECK 36246 1,548.79 <br /> PLYMOUTH,MN 55447 <br /> (763)475-1700 <br /> OWNER <br /> BUTTERFIELD, LOREN V <br /> 3955 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 time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />