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CITY OF ORONO * Z 0 1 6 - 0 0 5 3 4 * <br /> .. 2750 KELLEY PARKWAY DATE ISSUED: OS/17/2016 <br /> ORONO, MN 55356- <br /> '► (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 940 NORTH ARM DR <br /> PIN : 07-117-23-11-0014 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIVSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 145,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUAT[ON OF PERMIT:$ 145,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW MANUFACTURED HOME <br /> PERMIT#THIS PRE-PAYMENT[S TIED TO:2016-00533 <br /> APPLICANT ADVANCED PLAN REVIEW 905.72 <br /> VILLAMIL CONSTRUCTION CO. TOTAL 905.72 <br /> Payment(s) <br /> 5535 COUNTY ROAD 151 CREDIT CARD 2241 905.72 <br /> MINNETRISTA, MN 55364- <br /> (612)221-7511 <br /> Minnesota State License#: BUIL-20633780 <br /> OWNER <br /> OLSHANSKY, ROMAN <br /> 76 KINGSVIEW LANE N <br /> PLYMOUTH, MN 55447- <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 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 /> 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 required inspections are <br /> requested in conformance h the State Building Code.This permit may be ���p <br /> revoked at any time for du us � �/�'� <br /> .�. L ' . � � �-�.� `�Z,' J / `/ <br /> � �Z � i r ` <br /> Applicant Permitee Signature Da Issued By Signature Date <br />