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CITY OF ORONO PERMIT NO.: 2010.00438 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 06/08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 511 FERNDALE RD N <br /> PIN : 36-118-23-13-0012 <br /> LEGAL DESC : FA[RWAY VIEW <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 23,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUAT[ON OF PERMIT: $ 23000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING <br /> PERM17'#THIS PRE-YAYMEN'f IS TIED TO:2010-00439 <br /> ��_ <br /> � <br /> APPLICANT ADVANCED PLAN REVIEW 249.28 <br /> MARK A. PERRY TOTAL 249.28 <br /> l 5100 42ND AVE.N. <br /> PLYMOUTH, MN 55446- <br /> (763)404-2794 <br /> Minnesota State License#: 20130224 <br /> OWNER <br /> CAPECE, BARBARA&MARK <br /> S ll FERNDALE RD N <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 goveming this type of work <br /> shall be compied with whether or no[specified herein.This permit will <br /> expire and become null and void if const�uction authorized is not <br /> commenced within 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 confor • w' e ta[e Building Code.This permit may be <br /> revo �ny ' r e c e. <br /> /o� / /a / / <br /> Applicant Permitee Signature Date Issued By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />