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CITY OF ORONO * Z 0 1 6 - 0 0 4 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/03/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 965 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-14-0001 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 10,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 10,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERRMIT#THIS PRE-PAYMENT IS TIED TO:2016-00475 <br /> APPLICANT ADVANCED PLAN REVIEW 130.86 <br /> TOTAL 130.86 <br /> CRAFTMASTER CONSTRUCTION Payment(s) <br /> P O BOX 245 CREDIT CARD 3215 130.86 <br /> HANOVER, MN 55341- <br /> (763)682-9147 <br /> Minnesota State License#: BUIL-BC062809 <br /> OW IYER <br /> BJORK, ROBERT&BETH <br /> 965 EDGEWOOD HILLS 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 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[ime for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />