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CITY OF ORONO I I I 111 I 111111111 <br /> * 20 1 8 - 00009 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/04/2018 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2695 COUNTRYSIDE DR W <br /> PIN : 04-117-23-13-0005 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 005 BLOCK 003 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 30,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$30,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BASEMENT REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00010 <br /> APPLICANT ADVANCED PLAN REVIEW 318.58 <br /> LITE CONSTRUCTION TOTAL 318.58 <br /> Payment(s) <br /> (320)275-3677 CREDIT CARD 2619 318.58 <br /> Minnesota State License#:BUIL-1450 <br /> OWNER <br /> BICKETT,SCOTT&HOLLY <br /> 2695 COUNTRYSIDE DR W <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according <br /> to the approved plans and specifications,applicable City approvals, <br /> and the State Building Code. This permit is for only the work <br /> described and does not grant permission for additional or related work <br /> which requires separate permits. All provisions of laws and ordinances <br /> governing this type of work shall be compied with whether or not <br /> specified herein.This permit will expire and become null and void if <br /> construction authorized is not commenced within 180 days of the date <br /> of issuance,or if construction is suspended for a period of 180 days at <br /> any time after work has commenced. The applicant is responsible for <br /> Applicant Permitee Signature Date Issued By Signature Date <br />