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CITY OF ORONO * 2 0 1 4 - 0 0 0 0 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OUO2/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 133 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0022 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 017 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 12,000.00 <br /> NOTE: PLEASE FILL[N THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 12000.00 <br /> TYPE OF PERMIT"I'HIS PAYMENT IS FOR: KITCHEN REMODEL <br /> PERMIT#THIS PRE-PAYMF,NT IS"I'IF,D TO:2014-00002 <br /> APPLICANT ADVANCED PLAN REVIEW 143.81 <br /> TOTAL 143.81 <br /> OLSON, MR. & MRS. ROBERT Payment(s) <br /> 133 CHEVY CHASE DR CHECK 13361 143.81 <br /> WAYZATA, MN 55391 <br /> OWNER <br /> OLSON, MR. & MRS. ROBERT <br /> 133 CHEVY CHASE DR <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 specitications,applicable City approvals,and [hc <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 separatc <br /> permits. All provisions of laws and ordinances goveming 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 wi[hin 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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />