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CITY OF ORONO I I I III I4I 11 II II I- 00 I II II II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/03/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4705 WATERTOWN RD <br /> PIN : 31-118-23-22-0003 <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 /> VALUATION : $ 18,400.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 18,400 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR:ACCESSORY STRUCTURE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00278 <br /> APPLICANT ADVANCED PLAN REVIEW 210.93 <br /> TOTAL 210.93 <br /> PRCHAL, DEREK&KELLY Payment(s) <br /> 4705 WATERTOWN RD CHECK 2760 210.93 <br /> MAPLE PLAIN, MN 55359- <br /> OWNER <br /> PRCHAL,DEREK&KELLY <br /> 4705 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 he <br /> revoked at any time for due cause. <br /> \ k„\i,Vt <br /> dl <br /> Applica ermitee Signature Date Issue/ y Signature D to <br />