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� ' � CITY OF ORONO PERMIT NO.: 2009-00492 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 08/14/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4099 HIGHWOOD RD <br /> PIN : 07-117-23-44-0012 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PF,RMIT: $ 65,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED'I'O: PERMIT#2009-00491 <br /> APPLICANT ADVANCED PLAN REVIEW 516.26 <br /> BIG WOOD TIMBER FRAMES INC. TOTAL 516.26 <br /> 447 EAST 7TH STREET <br /> ST. PAUL, MN 55101- <br /> (65l)298-8776 <br /> Minnesota State License#:20002612 <br /> OWNER <br /> III,ALONZO SERAN <br /> 4099 HIGHWOOD RD <br /> MOUND, MN 55364- <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 gran[permission for additional or related work which rcquires 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 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 I 80 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 /> i i C��� �i /�i Oc�"l <br /> Applicant Permitee Signature Date Is d By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />