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• <br /> CITY OF ORONO <br /> * 2012 - 00950 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/24/2012 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> DDRESS : 4700 WEST BRANCH RD <br /> 'IN : 06-117-23-33-0004 <br /> 1,EGII DESC : UNPLATTED 06 117 23 <br /> : LOT 000 BLOCK 000 <br /> "ERMIT TYPE : ADVANCED PLAN REVIEW <br /> tROPERTY TYPE : RESIDENTIAL <br /> t ONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> 'VALUATION : $ 1,800.00 <br /> OTE: PLEASE FILL IN THE FOLLOWING: <br /> ra <br /> ti ALU XTION OF PERMIT:$ 1,800.00 <br /> YPE )F PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT-DECK <br /> ERM7T#THIS PRE-PAYMENT IS TIED TO:2012-00951 <br /> APPLICANT ADVANCED PLAN REVIEW 43.71 <br /> [ETERSON,RONALD <br /> 4 700 WEST BRANCH RD TOTAL 43.7 I <br /> FOUND,MN 55364 <br /> OWNER <br /> 'PETERSON,RONALD <br /> 700 WEST BRANCH RD <br /> i FOUND, MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> he work for which this permit is issued shall be performed according to <br /> t re approved plans and specifications,applicable City approvals,and the <br /> tate Building Code. This permit is for only the work described and does <br /> :,of grant permission for additional or related work which requires separate <br /> ermits. All provisions of laws and ordinances governing this type of work <br /> call be compied with whether or not specified herein.This permit will <br /> Kpire and become null and void if construction authorized is not <br /> 3mme iced within 180 days of the date of issuance,or if construction is <br /> tspended for a period of 180 days at any time after work has commenced. <br /> he applicant is responsible for assuring all required inspections are <br /> 1.;questM in conformance with the State Building Code.This permit may be <br /> i, u time MI <br /> ' <br /> rpplicant 'ermitee Signature Date Issued By Si: •ture rh tate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO f'. <br />