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� � IIS I ��� I 1' 1I <br /> CITY OF ORONO * 20 1 7 - 0 1 025 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/28/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 425 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-31-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 020 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,2)0,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 1,200,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED 1'O:2017-01026 <br /> II <br /> APPLICANT I ADVANCED PLAN REVIEW 4,611.70 <br /> TOTAL 4,611.70 <br /> HENDEL HOMES Payment(s) <br /> 15250 WAYZATA BLVD. CHECK 6624 4,611.70 <br /> SUITE 108 <br /> WAYZATA,MN 55391- <br /> (612)998-2167 <br /> Minnesota State License#:BUIL-BC1921``08 <br /> OWNER <br /> KVALSETH,JAHN&CHRISTINE <br /> 13650 ASHCROFT ROAD <br /> SAVAGE,MN 55378- <br /> AGREEMENT AND SWORN ST ►TEMENT <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 authgrized is not <br /> commenced within 180 days of the date of issuance,dr if construction is <br /> suspended for a period of 180 days at any time after vVork 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 Issued By Signature Date <br />