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MHUMMEKHMEM <br /> CMLLIE <br /> O ORONO * 2014 - 01258 * <br /> 2750 PARKWAY DATE ISSUED: 10/28/2014 <br /> ORONO, 55356- <br /> (952) 249-4600 F (952)249-4616 <br /> ADDRESS 315 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-31-0004 <br /> LEGAL DESC UNPLATTED 33 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 8,500.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$8500.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK REPLACEMENT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:201401259 <br /> APPLICANT A VANCED PLAN REVIEW 115.05 <br /> DRS HOME REPAIR&REMODL Pa ment(s) TOTAL 115.05 <br /> 6299 BIRCH LANE C ECK 23259 115.05 <br /> MOUND,MN 55364 <br /> (612)865-5398 <br /> OWNER <br /> ENGLEMAN MR.&MRS.ALAN <br /> 315 OLD CRYSTAL BAY RD N <br /> LONG LAKE,MN 55356- <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 in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Iss ed By Signature Date <br />