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CITY OF ORONO * z 0 1 2 — 0 0 9 7 7 * <br /> 2750 KELLEY PARKWAY �ATE �SSUE�: 09/28/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3350 FOX ST <br /> PIN : OS-117-23-44-0008 <br /> LEGAL DESC : FULLERTON ESTATES <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 10,000.00 <br /> NOTE: PLF,ASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 10000.00 <br /> 1'YPE OF PERMI"I"I'EllS VAYMENT IS FOR: BU[LDING PLRMI"T-POOL FIOUSI�. I'OUNDATION ONLY <br /> PETZMI'I'#"1'I11S PRE-PAYMENT IS TIED"1�0:2012-00978 <br /> APPLICANT ADVANCED PLAN REVIEW 124.64 <br /> STEINER& KOPPELMAN <br /> 18340 MINNETONKA BLVD TOTAL 124.64 <br /> DEEPHAVEN, MN 55391- PAID WITH CC# 1072 <br /> (612)473-5435 <br /> Minnesota State License#: 3721 <br /> OWNER <br /> BIGOS,NANCY <br /> 3350 FOX ST <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this perniit is issued shall be perfom�ed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. This permit is for only the work described and does <br /> not grant perniission for additional or related work which requires separatc <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 audiorized 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 /> requeste on ance wiUi the State F3uilding Code."I�his permit may be <br /> revo at any ti f cause. <br /> � , a�, 1 � � � � <br /> plicant Permitee �gnatu Date Issued By mature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED AB E. <br />