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. CITYOFORONO * z016 - PJ0699 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/17/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2413 CARMAN ST <br /> PIN : 20-117-23-12-0011 <br /> LEGAL DESC : NAVARRE <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REV[EW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 152,000.00 <br /> NOTE: PLEASE F[LL IN THE FOLLOWING: <br /> VALUAT[ON OF PERMIT:$ 152,000.00 <br /> TYPE OF PERMIT THIS PAYMENT[S FOR: ADDITION/ADDING U2 STORY <br /> PERMIT#THIS PRE-PAYMENT[S TIED T0:2016-00698 <br /> APPLICANT ADVANCED PLAN REVIEW 934.39 <br /> PRO STYLE CARPENTRY TOTAL 934.39 <br /> Payment(s) <br /> 3947 HUBBARD AVE N CREDIT CARD 5338 934.39 <br /> ROBBINSDALE, MN 55422- <br /> (651)583-1018 <br /> Minnesota State License#: BUIL-645774 <br /> OWIYER <br /> BLUTH, PETER <br /> 2413 CARMAN ST <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 /> pennits. 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 l80 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 perniit may be <br /> revoked at any time for due cause. <br /> - .� - I�G'-� <br /> � <br /> �.�, \�j C,,�� �f;.�(�' �'-C, �� � �"u..< �� `��� ��� � ( 1 � �1�-. <br /> Applicant Permitee Signature Da e [ssued— By Signa ure Date <br />