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CITY OF ORONO * 2 0 1 3 - 0 0 1 1 4 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/19/2013 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 430 WAKEFIELD RD <br /> PIN 36-118-23-24-0003 <br /> LEGAL DESC WAKEFIELD FARMS <br /> LOT 002 BLOCK 001 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 35,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 35000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00115 <br /> APPLICANT ADVANCED PLAN REVIEW 338.33 <br /> KUHL DESIGN&BUILD,LLC TOTAL 338.33 <br /> 1515 5TH STREET SOUTH <br /> HOPKINS,MN 55343- <br /> (952)935-9469 <br /> Minnesota State License#: BC390161 <br /> OWNER <br /> HENDERSON IV, WILLIAM <br /> 430 WAKEFIELD 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 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 con'r a with the State Building Code.This permit may be <br /> revoked t ti a for cause. <br /> zI / /5 <br /> Applicant Permitee Signature Date Issued By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />