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CITY OF ORONO * z 0 1 z - 0 0 7� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2012 <br /> � ORONO, MN 55356- <br /> • (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3443 CRYSTAL PL <br /> PIN : 17-117-23-43-0005 <br /> LECAL DESC : NAVARRE HEIGHTS <br /> : LOT 002 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUAT[ON : $ 120,000.00 <br /> NOTE: YLEASE FILL 1N"I�HE FOLLOWING: <br /> VALUATION OF PERMIT: $ 120,000 <br /> TYPE OF YERM[T THIS PAYMENT IS FOK: NGW HOME <br /> NERMIT#T�IIS PRG-PAYMENT IS TIED 1'O: 2012-00722 <br /> APPLICANT ADVANCED PLAN REV[EW 764.89 <br /> GULLICKSON, FRITZ TOTAL 764.89 <br /> 3443 CRYSTAL PL <br /> WAYZATA, MN 55391- <br /> Cit�y of llrono <br /> OWNER 2754 Kelley Parkway <br /> Oror� M�I 55356 952-249-46G0 <br /> GULLICKSON, FRITZ <br /> 3443 CRYSTAL PL � Receipt No: 3.007313 1u1 27, 2012 <br /> WAYZATA, MN 55391- <br /> Fritz Gullickson <br /> Previous Balanre: .04 <br /> AGREEMENT AND SWORN STATEMEIVT Gernits <br /> Thc work for which this permit is issued shall be performed according to 2412-00722 34�43 Crystal 7�.89 <br /> the approved plans and specitications,applicable City approvals,and the Plaee <br /> State Building Code. This permit is for only the work described and does ip�'��ld <br /> not grant permission for additional or related work which requires separate Plan Cheek/5ite Exa� Fees'__ �___ <br /> pennits. All provisions of laws and ordinances governing this type of work TOtdl: 7�1.B� <br /> shall be compied with whether or not s��cified herein.This permit will �____ _� <br /> expire and become null and voi�t;c�,struction authorized is not ��k <br /> commenced within 180 days of,Hfe�1ate �issuance,or if conslruction is �h�� �� 311� 7�.89 <br /> suspended for a period of I80 da,� any time after work has commenced. PgYpp; <br /> The.applicant is respons'ibt � �assuring all required inspections are Fritz 6ulliekson <br /> requested in conform �� ith[he State Building Code.This permit may be TOtdl App11E�: 7�F.8`� <br /> revoked at any ti o ue cau . <br /> -.: - � Z� �� � �, <br /> A yi�ant Pennitee Signa re Da � � ���� ��� """�� � �� ���-a`� <br /> � Issued By S�g ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />