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CITY OF ORONO * z 0 1 5 - 0 1 4 1 2 * <br /> . . 2750 KELLEY PARKWAY DATE ISSUED: 1 UO3/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4375 BAYSIDE RD <br /> PIN : 06-117-23-12-0008 <br /> LEGAL DESC : UNPLATTED 06 117 23 <br /> ; LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 20,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 20,000 <br /> TYPE OF PERM[T THIS PAYMENT 1S FOR: SCREENED PORCH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01413 <br /> APPLICANT ADVANCED PLAN REVIEW 231.57 <br /> TOTAL 231.57 <br /> PAT FAITH Payment(s) <br /> 4011 GLENDALE DRIVE CREDIT CARD 5019 231.57 <br /> EXCELSIOR,MN 55331- <br /> (612)7G0-0628 <br /> Minnesota State License#: BUIL-BC637448 <br /> OWNER <br /> WHITE, STEVEN& PATR[CIA <br /> 4375 BAYSIDE RD <br /> MAPLE PLAIN,MN 55359- <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 onty the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permiu. 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 l SO 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 /> :-�"� <br /> _ . - -- . <br /> `�o �e i" �� � � � �--3 � I� <br /> Applicant Permitee Signature Date Issued B Signature Date <br />