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CITY OF ORONO I*I I 20 1 8 I 1111111I I III- 000 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/23/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 3325 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-0018 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 005 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 190,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 190,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL AND ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:20108-00075 <br /> APPLICANT ADVANCED PLAN REVIEW 1,090.00 <br /> TOTAL 1,090.00 <br /> OLSON,TODD&ANGIE Payment(s) <br /> 3325 CRYSTAL BAY RD CHECK 5129 1,090.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> OLSON,TODD&ANGIE <br /> 3325 CRYSTAL BAY RD <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 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 are <br /> requested' ante with the State Building Code.This permit may be <br /> revoke t any time f e cause. <br /> iPuZe, icK <br /> Applicant Permitee Signature Date Issue, :y Signature Date <br />