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CITY OF ORONO * z 0 1 6 - 0 0 8 8 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1820 FOX ST <br /> PIN : 03-117-23-42-0009 <br /> LEGAL DESC : H[ACRES TWO <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUAT[ON : $ 175,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 175,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00884 <br /> APPLICANT ADVANCED PLAN REVIEW 1,028.57 <br /> TOTAL 1,028.57 <br /> YERIGAN CONSTRUCTION Payment(s) <br /> 27741 UNIVERSITY AVE NE CHECK 7690 1,028.57 <br /> 1SANTI,MN 55040 <br /> (763)444-5353 <br /> Minnesota State License#: BUIL-3404 <br /> OWNER <br /> MCDONOUGH, PAUL&LYNNE <br /> 1820 FOX STREET <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 separa[e <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 /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />