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CITY OF ORONO * 2 0 1 5 - 0 1 2 1 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/21/2015 <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 /> PERMTT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 18,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 18000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERMIT#THIS PR�PAYMENT IS TIED TO:2015-01211 <br /> APPLICANT ADVANCED PLAN REVIEW 211.43 <br /> ERIC MORTENSON CONSTRUCTION TOTAL 211.43 <br /> 212 22ND AVE NE Payment(s) <br /> MINNEAPOLIS,MN 55418- CREDIT CARD 3984 211.43 <br /> (612)747-2001 <br /> Minnesota State License#: BUIL-643510 <br /> OWNER <br /> DJY Construction <br /> 3452 PILGRIM LN N <br /> PLYMOUTH,MN 55441- <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 Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not gra►�t permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This pertnit 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> 1e0 t,r ��C..�.�.S� � i� /5 <br /> Applicant Permitee Signature Date Issued Signature Date <br />