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CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 1 7 - 0 1 5 0 <br /> DAT0 E ISSUED: 12/05/22 017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1140 WYNDMERE RD <br /> PIN : 26-118-23-41-0014 <br /> LEGAL DESC : WYNDMERE 2ND ADDITION <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 727,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$727,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR:NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-01591 <br /> APPLICANT ADVANCED PLAN REVIEW 3,134.09 <br /> TOTAL 3,134.09 <br /> GAGNE,DAVID Payment(s) <br /> 1125 NORTH ARM DRIVE CHECK 393 3,134.09 <br /> MOUND,MN 55364- <br /> OWNER <br /> GAGNE,DAVID <br /> 1125 NORTH ARM DRIVE <br /> MOUND,MN 55364- <br /> AGREEMENT <br /> 5364AGREEMENT 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 />