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CITY OF ORONO 11 1 111 111 I IIH I 11� �1� I1 1I 9 II111 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11126/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 825 WILLOW VIEW DR <br /> PIN : 28-118-23-44-0003 <br /> LEGAL DESC : WILLOW VIEW <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 15,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 15,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ATTACHED DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-01198 <br /> APPLICANT ADVANCED PLAN REVIEW 172.58 <br /> WOODCRAFT DESIGN BUILD, INC. TOTAL 172.58 <br /> P.O. BOX 665 <br /> WATERTOWN, MN 55388- PAID WITH CC# 8749 <br /> (612)290-0895 <br /> Minnesota State License#: 629265 <br /> OWNER <br /> HUML,DAVID&WENDY <br /> 825 WILLOW VIEW DR <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 /> suspe ded for a period of 180 days at any time after work has commenced. <br /> Tl a plicant is respo sible for assuring all required inspections are <br /> rs`quested in confo • . e wit the State Building Code.This permit may be <br /> *evoked at any ti fot due c use. <br /> ( JI Z e✓c c,y,,t<« <br /> Ap•li 'e• e Si ature ate Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />