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CITY OF ORONO * 2 0 1 2 - 0 0 6 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/09/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3150 RIDGEWOOD CIR <br /> PIN : 04-117-23-23-0022 <br /> LEGAL DESC : ROUTSON ADDN <br /> : LOT 002 BLOCK 001 <br /> PERIVIIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 12,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 12,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERMIT#THIS PR�PAYMENT IS TIED TO:2012-00642 <br /> APPLICANT ADVANCED PLAN REVIEW 143.81 <br /> FRANKLIN BUILDERS INC TOTAL 143.81 <br /> 7865 BEECH ST NE <br /> FRIDLEY,MN 55432- <br /> Minnesota State License#:20400298 <br /> OWNER <br /> HERRERA,CARLOS <br /> 3150 RIDGEWOOD CIRCLE <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable Ciry 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 /> 1'he 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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />