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CITY OF ORONO * z 0 1 3 - 0 0 B 7 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1415 PARK DR <br /> PIN : 07-117-23-42-0017 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 002 BLOCK O15 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 7,500.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ $7500.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00873 <br /> APPLICANT ADVANCED PLAN REVIEW 105.46 <br /> STRUCTION CONTRACTING LLC TOTAL 105.46 <br /> 1315 PARKVIEW DRIVE <br /> CHASKA,MN 55318- PAID WITH CC# 2923 <br /> (612)309-4653 <br /> Minnesota State License#: BC637053 <br /> OWNER <br /> BRANTER, BRIAN <br /> 1415 PARK DRIVE <br /> MOiJND,MN 55364- <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 goveming this rype 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />