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CITY OF ORONO * 2 0 1 6 - 0 0 6 2 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 06/0U2016 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRE5S ' : 1360 RAILROAD AVE <br /> pIN ' : 10-117-23-31-0007 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACTIVITY : 434-RESIDENTIAL <br /> VALUATION : $ 8,200.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$8200.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00625 <br /> APPLICANT ADVANCED PLAN REVIEW 120.79 <br /> TOTAL 120.79 <br /> LEMMERMAN CONST.INC. Payment(s) <br /> 9037 CTY.RD 17 SE CHECK 7176 120.79 <br /> DELANO,MN 55328 <br /> (763)972-3003 <br /> Minnesota State License#:BUIL-4854 <br /> OWNER <br /> TWELVES,STEVE&SALLY <br /> 1360 RAILROAD AVE <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 tt►e <br /> State Building Code. 1'his permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ondinances 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />