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CITY OF ORONO * Z 0 1 4 - 0 0 1 5 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/19/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 75 LEAF ST <br /> PIN : OS-117-23-11-0014 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 3 <br /> : LOT 1 BLOCK 3 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 80,500.00 <br /> NOTE: PLEASE FILL M THE FOLLOWING: <br /> VALUATION OF PERM[T: $ 80,500.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BASEMENT FINISH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00157 <br /> APPLICANT ADVANCED PLAN REVIEW 594.26 <br /> BOYER BUILDING CORPORATION TOTAL 594.26 <br /> Payment(s) <br /> 3435 COLJNTY ROAD 101 CREDIT CARD 8002 594.26 <br /> MINNETONKA,MN 55345 <br /> (612)475-2097 <br /> Minnesota State License#: BUIL-2988 <br /> OWNER <br /> KAPSNER,JASON&JULIE <br /> 75 LEAF ST <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 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 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 afrer 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 /> `��'� � - /����Z�� � � <br /> Applicant Permitee Si ture Date Issued By S' ature Date <br />