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� CITY OF ORONO * z 0 1 7 — 0 0 4 7 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/10/2017 <br /> ` ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 825 FOREST ARMS LA <br /> PIN : 07-117-23-12-0011 <br /> LEGAL DESC : FOREST ARMS <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 120,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUAT[ON OF PERMIT:$ 120,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION/REMODEL <br /> PERM[T#THIS PRE-PAYMENT IS TIED TO:2017-00473 <br /> APPLICANT ADVANCED PLAN REVIEW 803.35 <br /> TOTAL 803.35 <br /> NIEMELA CONSTRUCTION INC. Payment(s) <br /> 5765 QUAM AVE NE CHECK 1010 803.35 <br /> OTSEGO, MN 55330- <br /> (612)532-7956 <br /> Minnesota State License#: BUIL-BC602194 <br /> OWNER <br /> BRANDENBURG,NATHAN& BETH <br /> 825 FOREST ARMS LA <br /> MOUND, MN 55364- <br /> AGREEMENT A1vD 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 specitied herein.This permit will <br /> expire and become null and void if consvuction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of L 80 days at any time after work has commenced. <br /> The applicant is onsible for assuring all required inspections are <br /> requested in c f mance with the State Building Code.This permit may be <br /> revoked at y ti e for due cause. I . <br /> , �� � � ������, <br /> S a � �CJ �-�'�1? �—e�-J`�� J � ��J l � <br /> pplicant ermitee Si ur ate Issued By Sign ture Date <br />