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� . CITY OF ORONO * 2 0 1 4 - 0 1 4 2 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/1 U2014 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3399 CRYSTAL BAY RD <br /> PIN : 17-117-23-44-0021 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 018 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 250,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 250000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-01422 <br /> APPLICANT ADVANCED PLAN REVIEW 1,271.89 <br /> TOTAL 1,271.89 <br /> COMMAND BUILDING SERVICE Payment(s) <br /> 15405 N EDEN DRIVE CHECK 22704 1,271.89 <br /> EDEN PRAIRIE,MN 55346- <br /> (612)708-6085 <br /> Minnesota State License#: BUIL-BC636753 <br /> OWNER <br /> V MCKINNEY, STEVE SOBIENIAK/ <br /> 339 CRYSTAL BAY RD <br /> WAYZATA,MN 55391- <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 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 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 />