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CITY OF ORONO PERMIT NO.: 2011-01267 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �A7'E �SSUE�: 10/19/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3405 H[GH LA <br /> PIN : OS-117-23-11-0002 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0843 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIV TYPE : ADVANCED PLAN REV[EW <br /> VALUATION : $ 90,444.00 <br /> NOTE: PLGASG F[LL IN"IIIE FOLLOWING: <br /> VALUATION OF PEKMIT:$ 90444.00 <br /> TYPE OF PF,RMIT THIS PAYMENT IS FOR: REMODEL <br /> PERMIT#T}I[S PRE-PAYMGNT IS TIED TO:2011-01268 <br /> APPL[CANT ADVANCED PLAN REVIEW 638.14 <br /> KRECH EXTERIORS TOTAL 638.14 <br /> 5858 BLACKSHIRE PATH <br /> [NVER GROVE HEIGHTS, MN 55076- <br /> Minnesota State License#:20583274 <br /> OWNER <br /> REILLY, KEVIN& DENISE <br /> 3405 HIGH LA <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> "fhe work ibr which th�s permit is issued shall be performed according to <br /> thc approved plans and specifications,applicable City approvals,and the <br /> State Building Code. "I'his permit is for only the work described and does <br /> not grant permission for additional or related work���hich 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 /> commenccd within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any[ime 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 permit may be <br /> revo J at any time d ause. , <br /> � � ,� <br /> : _ � /�- /� i /�' i <br /> App icant Permitee Signature Date �� ������ �� � ���� ��� ��� �� <br /> Issu " y Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />