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CITY OF ORONO PERMIT NO.: 2011-00432 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 5535G- DATE ISSUED: 06/07/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1 180 HER[TAGE LA <br /> PIN : ]0-117-23-13-0002 <br /> LEGAL DESC : FOXHILL <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 85,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 85,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: MAIN FLOOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 6UILDNG PERMIT-201 1-00433 <br /> APPLICANT ADVANCED PLAN REVIEW 613.76 <br /> SCHRADER& COMPANIES TOTAL 613J6 <br /> 4725 EXCELSIOR BLVD#300 <br /> ST LOUIS PARK, MN 55416- PAID WITH CC# Xxxx <br /> (952)465-3582 <br /> Minnesota State License#: 20592473 <br /> OWNER <br /> ZIEGLER& KELLY RISCHE, DAVID <br /> 1 180 HERITAGE LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performcd according to <br /> the approved plans and specitications,applicable Ciry approvals,and the <br /> State Building Code. This pennit 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 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 tor 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 Permitce Signature Date � � � � �� <br /> Issue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />