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iiiiiiiiiiiiiiiiiiiiiillillilillillillillim <br /> CITY OF ORONO * 2016 - 00924 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)2494616 <br /> ADDRESS : 220 NORTHGATE RD <br /> PIN : 36-118-2341-0051 <br /> LEGAL DESC : NORTHGATE TWO <br /> LOT 001 BLOCK 007 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> ACTIVITY 434-RESIDENTIAL <br /> VALUATION $ 15,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$15,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR:ADDITION <br /> PRE-PAYMENT IS TIED TO:2016-00825 <br /> APPLICANT ADVANCED PLAN REVIEW 181.20 <br /> TOTAL 181.20 <br /> CYCLONE CONSTRUCTION Payment(s) <br /> 2876 FAIRWAY DR CREDIT CARD 1603 181.20 <br /> CHASKA,MN 55318- <br /> (651)398-3622 <br /> Minnesota State License#:BUIL429008 <br /> OWNER <br /> SEE,HENRY&GAIL <br /> 220 NORTHGATE 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 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 with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />