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CITY OF ORONO * z 0 1 3 — 0 0 1 7 s * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/18/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4010 BAYSIDE RD <br /> PIN : 06-117-23-11-0006 <br /> LEGAL DESC : POPOV ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 4,400.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 4,400.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#TH1S PRE-PAYMENT IS TIED TO:2013-00179 <br /> APPLICANT ADVANCED PLAN REVIEW 76.70 <br /> MAVERICK CONSTRUCTION TOTAL 76.70 <br /> 11227 RIVER ROAD NE <br /> HANOVER, MN 55341 PAID WITH CC# 1762 <br /> (763)498-7401 <br /> Minnesota State License#: BC 005572 <br /> OWNER <br /> LEVANG,CURTIS&ELIZABETH <br /> 4010 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permi[is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permi[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 7'his 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 l80 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 /> � � �._r � / I l� / � � / / <br /> Applicant Per �e Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />