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CITY OF ORONO * 2 0 1 2 - 0 0 1 8 e * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2012 <br /> . ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1453 PARK DR <br /> PIN : 07-117-23-42-0022 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 009 BLOCK O15 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 25,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 25,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REMODEL KITCHEN&BATH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00189 <br /> APPLICANT ADVANCED PLAN REVIEW 268.45 <br /> WELLSWOOD GROUP TOTAL 268.45 <br /> 1444 BALDUR PARK DR <br /> WAYZATA,MN 55391- <br /> OWNER <br /> WELLSWOOD GROUP <br /> 1444 BALDUR PARK DR <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 dces <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 required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revok at any time for due cause. <br /> _��� � '�a , �� � � <br /> Applicant Permitee Signature Date Issued y Si a ure Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />