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« " " �' CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 4 - 0 0 7 5 7 * <br /> DATE ISSUED: 07/16/2014 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 25 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0014 City of Orono <br /> LEGAL DESC : MYRTLEWOOD 2750 Kel ley Parkway <br /> : LOT 002 BLOCK 002 Orono MN 55356 952-249-4600 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> Receipt No: 3.011338 Jul 16, 2014 <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 200,000.00 Tivoli <br /> NOTE: PLEASE FILL IN THE FOLLOWING: Previous Balance: .00 <br /> Permits <br /> VALUATION OF PERMIT: $ 200,000.00 �014-00757 25 Myrtlewaod 1,0-76.89 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT Rd <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-007 101-34410 <br /> Plan CheckjSite Exam fees <br /> Total: �,076,gg <br /> Check <br /> Check No: 3022 1,076.89 <br /> Payar: <br /> APPLICANT ADVANCED PLAN REVIEW 1,076.89 <br /> TOTAL 1,076.89 <br /> TIVOLI DESIGN BUILD REMODEL Payment(s) <br /> 15 MYRTLEWOOD RD CHECK 3022 1,076.89 <br /> WAYZATA, MN 55391- <br /> (612)290-0482 <br /> Minnesota State License#: BUIL-BC680773 <br /> OWNER <br /> RYAN, STEVEN&ANNE <br /> 25 MYRTLEWOOD RD <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 sepazate <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 for assuring all reyuired inspections are <br /> requested i o ce with the State B ilding Code.This permit may be <br /> revoke t any time f r due cause. <br /> �-I�-/� � � <br /> A plic itee Signature Date Issued By ' ature Date <br />