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CITY OF ORONO * z 0 1 z - 0 1 0 8 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/25/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2640 FOX ST <br /> PIN : 04-117-23-42-0008 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1249 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 30,000.00 <br /> NOTE: PLEASE FILL[N THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 30,000.00 <br /> TYFE OF NERMIT THIS PAYMENT IS FOR: GARAGE <br /> PERMIT#THIS PRE-PAYMENT[S TIED TO:2012-01081 <br /> APPLICANT ADVANCED PI.AN REV[EW 303.39 <br /> WESTLING,THOMAS& LORI <br /> 2640 FOX ST TOTAL 303.39 <br /> WAYZATA, MN 55391- <br /> (952)331-3924 <br /> OWNER <br /> WESTL[NG, THOMAS&LORI <br /> %640 FOX ST <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> Thc work for which this permit is issued shall be perfom�ed according to <br /> die 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 specified herein.This perniit will <br /> expire and become null and void if construction authorized is no[ <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of I 80 days a[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 timc for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />