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CITY OF ORONO1;' 1 11 11 I I 11 I I I I'I <br /> * <br /> 2750 KELLEY PARKWAY * 2 1 2 - 0 1 0 4 <br /> DATE ISSUED: 10/26/22 012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 680 ORCHARD PARK RD <br /> PIN : 32-118-23-22-0006 <br /> LEGAL DESC : ORCHARD PARK <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 45,500.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 45,500.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL <br /> THIS PRE-PAYMENT IS TIED TO:2012-01085 <br /> APPLICANT ADVANCED PLAN REVIEW 415.19 <br /> RIC,INC. TOTAL 415.19 <br /> 7675 HWY 13 WEST <br /> SAVAGE,MN 55378- PAID WITH CC# 5127 <br /> (612)220-1851 <br /> Minnesota State License#: BC639105 <br /> OWNER <br /> WEGGE,MATT&LINDSAY <br /> 680 ORCHARD PARK RD <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 Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />