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��. <br /> CITY OF ORONO * 2 0 1 5 - 0 0 6 0 6 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2015 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2735 DEER RUN TR E <br /> PIN : 04-117-23-13-0013 <br /> LEGAL DESC : N/A <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 500,000.00 <br /> NOTE: PI,EASE F1LL IN THE FOLLOWING: <br /> VALUATION OF VERMIT: $ 500.000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NF:W HOME <br /> PERMI"�#THIS PRE-PAYMENT IS TIED TO:20]5-00607 <br /> APPLICANT ADVANCED PLAN REVIEW 2,359.23 <br /> TOTAL 2,359.23 <br /> NIH HOMES Payment(s) <br /> 6840 213TH AVENUE CHECK 23345 2,359.23 <br /> ELK RIVER, MN 55330- <br /> (763)753-1750 <br /> Minnesota State License#: BUIL-BC419931 <br /> OWNER <br /> NIH HOMES <br /> 6840 213TH AVE <br /> ELK RIVER, MN 55330- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he 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 perniit is for only[he work described and does <br /> not grant permission for addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with Hhe[her or not specified herein.This perniit 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 da�s at an} time afier work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conforniance with the State Building Code."This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date � ��� �� <br /> Iss By Signature Date <br />