2013 - 01218 - adv plan review - Laserfiche WebLink

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CITY OF ORONO 1111111111111111111111� 1 z� �1 2750 KELLEY PARKWAY DATE ISSUED: 11/14/2013 ORONO, MN 55356- (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 960 WILLOW DR N PIN : 27-118-23-33-0011 LEGAL DESC : UNPLATTED 27 118 23 : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 2,150.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 2150.00 TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01219 APPLICANT ADVANCED PLAN REVIEW 57.53 GREEN CLEAN RESTORATION TOTAL 57.53 7229 UNIVERSITY AVE. NE FRIDLEY,MN 55432- PAID WITH CC# 2605 (763)789-9600 Minnesota State License#: BC631450 OWNER BODE,KATHRYN 960 WILLOW DR N LONG LAKE,MN 55356 AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. 1/ I/II/ Applicant Permitee Signature e Date Issued By '11 ature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER _. AN DESCRIBED ABOVE.