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CITY OF ORONO * 2 0 1 3 -�0 0 6 7 B * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1421 NORTH ARM DR , <br /> PIN : 07-117-23-44-0073 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 220,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 220000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00679 <br /> APPLICANT ADVANCED PLAN REVIEW 1,154.89 <br /> DJY CONSTRUCTION LLC TOTAL 1,154.89 <br /> PO BOX 46154 <br /> PLYMOUTH, MN 55446- <br /> Minnesota State License#: 666062 <br /> OWNER <br /> NORMAN,THOMAS <br /> 1421 NORTH ARM DR <br /> MOLTND, MN 55364- <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]80 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 an use. <br /> ? i �� i / i l <br /> A p icant Permitee Signature Date Issued ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OT R THAN DESCRIBED AB E. <br />