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CITY OF ORONO * z � 1 7 - 0 1 2 5 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/03/2017 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2135 SIXTH AVE N <br /> PIN : 27-118-23-31-0005 <br /> LEGAL DESC : LJNPLATTED 27 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 24,000.00 <br /> APPLICANT ADVANCED PLAN REVIEW 271.82 <br /> TOTAL 271.82 <br /> SELSETH,JACOB&AMANDA Payment(s) <br /> 2135 SIXTH AVE N CHECK 3578 271.82 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> SELSETH,JACOB&AMANDA <br /> 2135 SIXTH AVE N <br /> LONG LAKE,MN 55356- <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 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 wi[h 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 />