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,H. CITY OF ORONO * z 0 1 7 — 0 0 0 4 e * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OU20/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 680 NORTH ARM DR <br /> PIN : 06-117-23-43-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 362 <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 24,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOW[NG: <br /> VALUATION OF PERMIT:$ 24000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: 2017-00049 <br /> PERMI"I'#THIS PRG-PAYMENT[S TIF,D T0: BATHROOM REMODEL, SIDING,WINDOWS <br /> APPLICANT ADVANCED PLAN REVIEW 271.83 <br /> GIRARD, SANDRA& BRIAN TOTAL 271.83 <br /> 680 NORTH ARM DR Payment(s) <br /> MOUND, MN 55364 CHECK 10458 271.83 <br /> OWNER <br /> GIRARD, BRIAN& SANDRA <br /> 680 NORTH ARM DR <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�cork for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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 construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 /> i��'� <br /> �� �;c�� /%_�..e ��-z, i� �c� ��� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />