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� i �� <br /> CITY OF ORONO * z 0 1 3 - 0 0 9 0 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/10/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4055 ELM ST <br /> PIN : 06-117-23-41-0106 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 009 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 520,000.00 <br /> NOTE: PLEASE FILL IN"I'HG FOI.I,OWING: <br /> VALUATION OF P�RMIT:$ 520,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERM[T#THIS PRE-PAYMENT IS TIED TO:2013-00906 <br /> � Joe Schreder,Project Manager <br /> - e JoeQSolidGroundHomes.com <br /> Office: (763)754-3939 <br /> �lid ground� Cell (763)381-7482 <br /> Fax: (763)754-1079 <br /> HOMES&REMODELING <br /> 14220 Basalt St.NW,Ste 200 <br /> Building on a Strong Foundation" Ramsey,MN 55303 <br /> APPL[CANT ADVANCED PLAN REVIEW 2,311.89 <br /> SOLID GROUND HOMES& REMODELING TOTAL 2,31 1.89 <br /> 14220 BASALT STREET N W <br /> RAMSEY, MN 55303- PAID WITH CC# 2308 <br /> (763)286-5072 <br /> Minnesota State License#: BC224579 <br /> OWIYER <br /> FRITZ, MATT <br /> 9125 LOUISIANA AVE N <br /> BROOKLYN PARK, MN 55443- <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 specitied 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 afrer 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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />