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CITY OF ORONO * Z 0 1 5 - 0 0 PJ 4 1 � <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU13/2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1100 PINE VIEW DR <br /> PIN : 28-118-23-42-0010 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 4 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 518,624.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 518,624.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 20 1 5-0004 1 <br /> ADVANCED PLAN REVIEW CK WAS ALREADY MADE OUT WITH 2O14 FEES,DIFFERENCE OWED AT TIME NEW HOME PERMIT IS <br /> PICKED UP OF$115.43 <br /> APPLICANT ADVANCED PLAN REVIEW 2,308.64 <br /> TOTAL 2,308.64 <br /> GORDON JAMES CONSTRUCTION Payment(s) <br /> 5159 MAIN STREET E CHECK 2023 2,308.64 <br /> P.O. BOX 306 <br /> MAPLE PLAIN,MN 55359- <br /> (763)479-3117 <br /> Minnesota State License#: BUIL-24531961 <br /> OWNER <br /> WIGGINS,JASON&AMANDA <br /> > <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 l80 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. ' ' J <br /> ���� - <br /> /� / - f T '?��S' �. �.` ,�...�:�,'ti�� � j � � 1�� ,��;. <br /> pli t Permitee gnature Date Issued By Signature Date <br />