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CITY OF ORONO * 2 0 1 5 - 0 0 2 3 2 * <br /> � � 2'750 KELLEY PARKWAY DATE ISSUED: 02/26/2015 � <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 99 SIXTH AVE N <br /> PIN : 25-118-23-44-0012 <br /> LEGAL DESC : HOLLY ACRES 2ND ADDN <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 43,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 43000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2015-00232 <br /> APPLICANT ADVANCED PLAN REVIEW 413.97 <br /> CHOICE WOOD COMPANY TOTAL 413.97 <br /> 3300 GORHAM Payment(s) <br /> ST.LOUIS PARK,MN 55426 CHECK 20172 413.97 <br /> (612)924-0043 <br /> Minnesota State License#: BUIL-1532 <br /> OWNER <br /> BRISCOE,MR.&MRS. <br /> 99 SIXTH AVE N <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORI�i 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 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.1'his permit may be <br /> re7�oked any time for d cause. <br /> � , <br /> \ � ,� <br /> ,�. � / / <br /> Applic t ermite Si n re Date Issued By Signature Date <br />