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CITY OF ORONO III 111111 11 11.1111 1111111 II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/16/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2740 WHITE OAK CIR <br /> PIN : 04-117-23-42-0019 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1447 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 77,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ $77,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00052 <br /> APPLICANT ADVANCED PLAN REVIEW 574.76 <br /> TOTAL 574.76 <br /> PLEKKENPOL BUILDERS Payment(s) <br /> 401E 78TH ST CREDIT CARD 6152 574.76 <br /> BLOOMINGTON,MN 55420- <br /> (952)888-2225 <br /> Minnesota State License#: cont-1797 <br /> OWNER <br /> BERRELL, ROBERT&KAREN <br /> 2740 WHITE OAK CIR <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 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 •ause. <br /> 4 <br /> I_.,/. / /6/ l l <br /> App; ant Pe itee g ature Date Issued By Si ature Date <br />