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- " � ' CITY OF ORONO * z 0 1 5 - 0 1 0 0 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/OS/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 559 PARK LA <br /> PIN : 06-117-23-41-0044 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 000 BLOCK 006 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 350,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$350000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE PERMIT <br /> PERMIT#THIS PR�PAYMENT IS TIED TO:2015-01001 <br /> APPLICANT ADVANCED PLAN REVIEW 1,744.98 <br /> TOTAL 1,744.98 <br /> O'DONNEL,TIMOTHY&JOAN Payment(s) <br /> 559 PARK LA CHECK 1628 1,744.98 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> O'DONNEL,TIMOTHY&JOAN <br /> 559 PARK LA <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 dces <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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />