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CITY OF ORONO 1111111111111111111111111111111111111111111111 <br /> * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/10/2013 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 985 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0011 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 010 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 21,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ $21000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01065 <br /> APPLICANT ADVANCED PLAN REVIEW 230.10 <br /> FINISHED BASEMENT CO. TOTAL 230.10 <br /> 1380 DUCKWOOD DRIVE <br /> EAGAN,MN 55123- PAID WITH CC# 6395 <br /> (612)710-0391 <br /> Minnesota State License#:20460771 <br /> OWNER <br /> BROCKMAN,JENNY&GERRY <br /> 985 WILLOW VIEW DR <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 he <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issue• y nature ` e <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />