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CITY OF ORONO * 2 0 1 6 - 0 1 0 9 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2016 <br /> ��+ ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1105 BROWN RD S <br /> pI� : 10-117-23-24-0004 <br /> LEGAL DESC : LINPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 5,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 5,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERMIT#THIS PRE-PAYMENT IS T[ED TO:2016-01095 <br /> THIS$2500 ESCROW IS TIED TO BUILDING PERMIT 2016-01095. <br /> 09/19/19-NOTE:WHEN PERMIT WAS TAKEN IN ASSIGNED PERMIT#2016-01095(HOWEVER PERSON ENTERING,DID NOT PUSH <br /> "SAVE"AND THIS NUMBER WAS USED BY ANOTHER PERMIT AT ANOTHER ADDRESS. WHEN I WENT TO ISSUE,I HAD TO ASS[GN <br /> A NEW PERMIT#2016-01134 IN ORDER TO ISSUE THIS PERMIT. <br /> APPLICANT ADVANCED PLAN REVIEW 80.52 <br /> TOTAL 80.52 <br /> NORTON HOMES Payment(s) <br /> 18215 45TH AVE N, STE D CREDIT CARD 6524 80.52 <br /> PLYMOUTH, MN 55446- <br /> (612)386-7661 <br /> Minnesota State License#: BUIL-BC639221 <br /> OWNER <br /> SULLNAN, JOHN&LAURA <br /> 1105 BROWN RD S <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 afrer 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 cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />