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CITY OF ORONO * z 0 1 5 - 0 0 0 0 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/05/2015 <br /> '�� ORONO, MN 55356- <br /> , 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3020 NORTH SHORE DR <br /> PIN : 09-117-23-32-0003 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 150,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$150,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL <br /> PERMIT#THIS PR�PAYMENT IS TIED T0 20 1 5-00009 <br /> APPLICANT ADVANCED PLAN REVIEW 881.89 <br /> BRIAN STEPHENSON CONST. INC. TOTAL 881.89 <br /> 2025 PAWNEE RD Payment(s) <br /> CREDIT CARD 3122 881.89 <br /> MEDINA,MN <br /> (612)889-0477 <br /> Minnesota State License#: BUIL-20222459 <br /> OWNER <br /> SWENSON,J&K <br /> 3020 NORTH SHORE DR <br /> WAYZATA,MN 55391- <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 dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming 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 conswction 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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />