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CITY OF ORONO * 2016 - 00542 * <br /> 2750 KELLEY PARKWAY <br /> DATE ISSUED: 05/18/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 1185 WYNDMERE RD <br /> PIN 26-118-23-41-0009 <br /> LEGAL DESC WYNDMERE <br /> LOT 003 BLOCK 001 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 175,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 175,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00541 <br /> APPLICANT ADVANCED PLAN REVIEW 1,028.57 <br /> STREETER&ASSOCIATESTOTAL 1,028.57 <br /> 18312 MINNETONKA BLVD Payments) <br /> CHECK 102890 1,028.57 <br /> WAYZATA,MN 55391 <br /> (952)346-2499 <br /> Minnesota State License#:BUIL-BC-001380 <br /> OWNER <br /> WLAZLO,TONY&MICHELLE <br /> 1185 WYNDMERE RD <br /> WAYZATA,MN 55391- <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 n <br /> revoked at any time for due cause. ((/ <br /> Applicant Permitee Signature Date Issued By Signature Date <br />