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CITY OF ORONO * 2 0 1 2 - 0 0 1 z s * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/23/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3508 IVY PL <br /> PIN : 20-117-23-42-0(�4 lvaw C'�31r, <br /> LEGAL DESC : TAYLORS SUBD OF SPRING PARK LO <br /> : LOT 183 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 643,750.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 643,750.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW STRUCTURE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:BUILDING PERMIT#2012-00127 <br /> APPLICANT ADVANCED PLAN REVIEW 2,714.89 <br /> PILLAR HOMES TOTAL 2,714.89 <br /> 1700 NIAGARA LANE N <br /> PLYMOUTH,MN 55447 PAID WITH CC# 7945 <br /> (763)475-1700 <br /> OWNER <br /> WILSON,STEPHEN <br /> 3510IVY PL <br /> WAYZATA,MN 55391 <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 grant permission for additional or related work which requires sepazate <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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building 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 PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />