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CITY OF ORONO PERMIT NO.: 2009-00822 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 11/16/2009 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4040 WATERTOWN RD <br /> PIN : 31-118-23-41-0001 <br /> LEGAL DESC : UNPLATTED 31 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACTIVITY : RENAL <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$3500.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT FOR DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2009-00823 <br /> APPLICANT ADVANCED PLAN REVIEW 67.I I <br /> CREAR, ERIC TOTAL 67.11 <br /> 4040 WATERTOWN RD <br /> MAPLE PLAIN,MN 55359- PAID WITH CC# 4315 <br /> OWNER <br /> CREAR,ERIC <br /> 4040 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 w' in 180 days of the date of issuance,or if construction is <br /> suspended fo a period of 180 days at any time after work has commenced. <br /> The applic. t responsible for as . in.t.all required inspections are <br /> requested'fon o •'with State :uilding Code.This permit may be <br /> revoke".4. y ti due cau•e. <br /> /f /G (2.005 <br /> Appli v Permitee Sig .tu - Date Issued By Signature Date <br /> EPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />