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CITY OF ORONO * 2 0 1 5 - 0 1 1 4 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/09/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1840 LAKEVIEW TER <br /> PIN : 27-118-23-42-0010 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 9,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$9,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK PERMIT <br /> PERMIT#THIS PR�PAYMENT IS TIED TO:20 1 5-0 1 1 42 <br /> APPLICANT ADVANCED PLAN REVIEW 120.82 <br /> TOTAL 120.82 <br /> EXCEPTIONAL HOMES&REMODELING,INC payment(s) <br /> 2890 QUEENSLAND LANE N CREDIT CARD 6831 120.82 <br /> MAPLE GROVE,MN 55311- <br /> (612)221-5994 <br /> Minnesota State License#:BUIL-20626822 <br /> OWNER <br /> MERNIK,WILLIAM&LISA <br /> 1840 LAKEVIEW TER <br /> LONG LAKE,MN 55356- <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 pertnit is for only the work described and does <br /> not grant pertnission for additional or related work which requires 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 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 /> � / / <br /> Applicant Permitee Signature Date Issued By ature Date <br />