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CITY OF ORONO PERMIT NO.: 2011-01032 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/14/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 725 FERNDALE RD N <br /> PIN : 36-118-23-12-0002 <br /> LECAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REV[EW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REV[EW <br /> VALUATION : $ 150,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 1�0000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING <br /> PERMIT#THIS PRE-PAYMFNT IS TIED TO:2011-01033 <br /> APPLICANT ADVANCED PLAN REVIEW 881.89 <br /> MEADOWCREEK BUILDING CORP TOTAL 881.89 <br /> 6955 BAKER AVE NW <br /> BUFFALO,MN 55313- PAID WITH CC# 1687 <br /> (612)616-2252 <br /> Minnesota State License#: 20573604 <br /> OWNER <br /> SOWADA, MICHEAL& MARGARET <br /> 725 FERNDALE RD N <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> fhe work for which this pennit is issued shall be perfonned according to <br /> the approved plans and specifications,applicable City approvals,and thc <br /> State[3uilding Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which rcquires 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 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 /> revoke at r ime for due cause. <br /> ^�� l � �-I � �� / � / <br /> Applicant Per itee Signature Date ss �e By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />