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CITY OF ORONO * 2 0 1 2 - PJ 0 � z 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/30/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2280 FOX ST <br /> PIN : 03-117-23-32-0014 <br /> LEGAL DESC : BILL KELLEYS LAND 1 ST DIV <br /> : LOT 002 BLOCK OOl <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 260,000.00 <br /> NOTE: PLEASE FILL IN T'HE FOLLOWING: <br /> VALUATION OP PERMIT:$ 260000.00 <br /> TYPE OP PERMIT THIS PAYMENT IS FOR: REMODGL <br /> PERMI"1�#T}IIS PRE-PAYMENT IS TIED"I'O:2012-00728 <br /> APPLICANT ADVANCED PLAN REV[EW 1,310.89 <br /> KUHL DESIGN& BUILD, LLC TOTAL 1,310.89 <br /> 1515 STH STREET SOUTH <br /> HOPKINS, MN 55343- <br /> (952)935-9469 <br /> Minnesota State License#: BC390161 <br /> OWNER <br /> MYHRAN, ANDERS& LYNN <br /> 2280 FOX ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc���ork for which this permit is issued shall be performed according to <br /> dic approvcd plans and specifications,applicable City approvals,and the <br /> S[atc 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 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 confonnance with the State Quilding 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 PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />