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CITY OF ORONO * z 0 1 7 — 0 0 1 9 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUEn: 03/03/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRES� : 1480 SIXTH AVE N <br /> Pln : 26-118-23-32-0008 <br /> LEGAL DESC : DOUGLAS ESTATES <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 5,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOW[NG: <br /> VALUAT[ON OF PERMIT:$ 5,000.00 <br /> 1'YPE OF PERMIT THIS PAYMENT IS FOR: SHED <br /> PFRMIT#TH[S PRE-PAYMENT IS T[ED TO:2017-00198 <br /> APPLICANT ADVANCED PLAN REVIEW 80.52 <br /> GULBRANDSON, DAN &ERICKA TOTAL 80.52 <br /> Payment(s) <br /> 1480 SIXTH AVE N CHECK 8176 80.52 <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> GULBRANDSON, DAN&ERICKA <br /> 1480 SIXTH AVE N <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 wiil <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 /> � <br /> revoked at any time for due cause. ) <br /> r `��, <br /> � �3 �1 U� � ��`�(.. -� "�' /� <br /> Applicant ermitee Signature Date Issued By Signature Date <br />