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* " CITY OF ORONO PERMIT NO.: 2009-00350 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/23/2009 <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 70 WEAR LA S <br /> PIN : 04-117-23-21-0019 <br /> LEGAL DESC : ROLLING MEADOWS 4TH ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 350,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2009-00351 <br /> APPLICANT ADVANCED PLAN REVIEW 1,661.89 <br /> GORDON JAMES CONSTRUCTION TOTAL 1,661.89 <br /> 5159 MAIN STREET E <br /> P.O. BOX 306 <br /> MAPLE PLAIN,MN 55359- <br /> (763)479-3117 <br /> Minnesota State License#:20531961 <br /> OWNER <br /> PFEIFFER,JASON&JONI <br /> P.O.BOX 196 <br /> CRYSTAL BAY,MN 55323- <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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />