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CITY OF ORONO * 2 0 1 3 - 0 0 6 9 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/22/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3670 LIVINGSTON AVE <br /> PIN : 17-117-23-34-0031 <br /> LEGAL DESC : NAVARRO <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 2,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 2000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00694 <br /> APPLICANT ADVANCED PLAN REVIEW 47.94 <br /> LARSON,MICHEAL&DEBRA TOTAL 47.94 <br /> 3670 LIVINGSTON AVE <br /> WAYZATA, MN 55391- <br /> OWNER <br /> LARSON,MICHEAL& DEBRA <br /> 3670 LIVINGSTON AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 goveming this rype 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 nformance with the State Building Code.This permit may be <br /> revoked a time for due ca se. <br /> � / / <br /> plicant Permitee Signat e Date Issued y Sign re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER T N DESCRIBED ABOVE. <br />