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CITY OF ORONO * 2 0 1 6 - 0 1 2 8 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/1ll2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 125 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0018 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 013 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIV TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 80,000.00 <br /> NOTE: PLEASE F[LL[N THE FOLLOWING: <br /> VALUAT[ON OF PERM[T:$80,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: [NTERIOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01290 <br /> APPLICANT ADVANCED PLAN REVIEW 619.01 <br /> TOTAL 619.O1 <br /> CLAIRMONT DESIGN BUILD LLC Payment(s) <br /> 11658 SOTH STREET N CRED[T CARD 5454 619.01 <br /> LAKE ELMO,MN 55042- <br /> OWNER <br /> MCCLAHAHAN, ROBERT& KR[STIN <br /> 125 CHEVY CHASE DR <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 docs <br /> not grant permission for additional or related tiork which requires separate <br /> permits. All provisions of laws and ordinances goveming 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 Cor 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 />