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CITY OF ORONO 11111111111111111111111111111 II I 11111111111111 <br /> 79 * <br /> 2750 KELLEY PARKWAY * 2 15 - 00 1 2 5 <br /> DATE ISSUED: 06/19/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2740 WHITE OAK CIR <br /> PIN : 04-117-23-42-0019 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1447 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 44,243.33 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 44,243.33 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: FIRE DAMAGE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO 2015-00794 <br /> APPLICANT ADVANCED PLAN REVIEW 428.64 <br /> TOTAL 428.64 <br /> UNDERMAN CONSTRUCTION CO. INC. Payment(s) <br /> 4450 NICOLLET AVE S CREDIT CARD 9780 428.64 <br /> MINNEAPOLIS,MN 55357- <br /> (612)825-2800 <br /> Minnesota State License#: BUIL-BC001239 <br /> OWNER <br /> BERRELL, ROBERT&KAREN <br /> 2740 WHITE OAK CIR <br /> LONG LAKE,MN 55356 <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 /2f) <br /> revoked at any time for due cause. <br /> _ / :44.4 /l / 0 A Lti 7' ((- (C /c <br /> Cpl' ant Permitee Si: ature Date Issued By Signature Date <br />