HomeMy WebLinkAbout2015-01205 - plan review fee CITY OF ORONO * Z 0 1 5 - 0 1 2 0 5 *
2750 KELLEY PARKWAY DATE ISSUED: 09/18/2015
ORONO, MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS : 1190 LOMA LINDA AVE
PIN : 08-117-23-23-0003
LEGAL DESC : LINPLATTED 08 117 23
: LOT 000 BLOCK 000
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE . ADVANCED PLAN REVIEW w,r�'"`'�
ACTIVITY . 434-RESIDENTIAL ��,.���'���
VALUATION : $ 5,000.00 �� '`�
NOTE: PLEASE FILL M THE FOLLOWING:
VALUATION OF PERMIT:$ 5,000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: DECK
PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01206
APPLICAIVT ADVANCED PLAN REVIEW 80.54
MITCHELL,MARK&ELIZABETH TOTAL 80.54
Payment(s)
1190 LOMA LINDA AVE CASH 80.54
MOLJND,MN 55364
OWNER
MITCHELL,MARK&ELIZABETH
1190 LOMA LINDA AVE
MOLJND, MN 55364
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
Sta[e Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
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Applicant Permitee Signature Date Issued By Signature Date