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� -• CITY OF ORONO <br /> 2750 KELLEY PARKWAY * Z 0 1 Z - 0 0 2 7 1 * <br /> DATE ISSUED: 04/10/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4156 HIGHWOOD RD <br /> PIN : 07-117-23-44-0019 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 023 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 15,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWiNG: <br /> VALUATION OF PERMIT:$ 15,000.00 <br /> TYPE OF PERMIT TF-IIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED T0:2012-00272 <br /> APPLICANT ADVANCED PLAN REVIEW 172.58 <br /> 1ST CHOICE CONSTRUCTION LLC TOTAL 172.58 <br /> 2143 DIAMOND LANE <br /> MOUND,MN 55364 <br /> (763)242-9049 <br /> Minnesota State License#: BC639165 <br /> OWNER <br /> FOSTER,ERIC <br /> 4156 HIGHWOOD RD <br /> MOLJND,MN 55364 <br /> AGREEMENT AND SWORN STATEMENT <br /> 7'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 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 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 fo assuring all required inspections are <br /> requested in conformance wi the State Building Code.This permit may be <br /> revoked y ti due use. <br /> � ��� , yZ � � <br /> A p icant Permitee Signature Date Issued By ' ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE HAN DESCRIBED ABOVE. <br />