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CITY OF ORONO * 2 0 1 6 - 0 1 PJ 4 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/29/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1820 LAKEVIEW TER <br /> PIN : 27-118-23-42-0012 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 45,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$45,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: KITCHEN REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01047 <br /> APPLICANT ADVANCED PLAN REVIEW 428.66 <br /> D B RASKOB CONSTRUCTION LLC TOTAL 428.66 <br /> 2864 ARDMORE AVE Payment(s) <br /> MAPLE PLAIN,MN 55359- CHECK 17815 428.66 <br /> (763)479-1393 <br /> Minnesota State License#:BUIL-3481 <br /> OW1�iER <br /> KOKESH,JAMIE <br /> 1820 LAKEVIEW TER <br /> LONG LAKE,MN 55356- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> The work for which this permit is issued sha11 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 separate <br /> permits. All provisions of Iaws 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 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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Sigr►ature Date Issued By Signature Date <br />