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CITY OF ORONO * 2 0 1 7 - 0 0 4 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/03/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2625 NORTH SHORE DR <br /> PIN : 09-117-23-42-0003 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 169,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 169,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00441 <br /> APPLICANT ADVANCED PLAN REVIEW 1,004.00 <br /> ANDERSON-REDA INC TOTAL 1,004.00 <br /> 4920 LINCOLN DRIVE Payment(s) <br /> EDINA,MN 55424 CREDIT CARD 3189 1,004.00 <br /> (612)308-2722 <br /> Minnesota State License#:BUIL-20229198 <br /> OW1�1ER <br /> MEHBOD,AMIR&ASHLEY <br /> 2625 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> AGREEMEIVT 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 pertnit is for onty 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 180 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 any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />