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CITY OF ORONO * 2014 - 00531 *
2750 KELLEY PARKWAY DATE ISSUED: 05/30/2014
ORONO, MN 55356-
(952)249-4600 FAX: (952)249-4616
ADDRESS : 240 NORTHGATE RD
PIN : 36-118-23-41-0050
LEGAL DESC : NORTHGATE TWO
: LOT 001 BLOCK 006
PERMIT TYPE : ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADVANCED PLAN REVIEW
VALUATION $ 20,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$20000.00
TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL
PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00530
APPLICANT ADVANCED PLAN REVIEW 220.51
BRIAN STEPHENSON CONST.INC. TOTAL 220.51
Payment(s)
2025 PAWNEE RD
CREDIT CARD 3122 220.51
MEDINA,MN
(612)889-0477
Minnesota State License#:BUIL-20222459
OWNER
CARISCH, STACY
240 NORTHGATE RD
WAYZATA,MN 55391-
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
State 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.
Applicant Permitee Signature Date Issued By Signature Date