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, , . <br /> CITY OF ORONO * 2 0 1 e - e a 4 z 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/06/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: 952)249-4616 <br /> ADDRESS : 1225 SHORELINE DR <br /> PIN : 02-117-23-34-0002 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 169 <br /> : LOT 001 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 70,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 70,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: KITCHEN&BATH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00422 <br /> APPLICANT ADVANCED PLAN REVIEW 567.79 <br /> CHOICE WOOD COMPANY TOTAL 567.79 <br /> Payment(s) <br /> 3300 GORHAM CHECK 084158 567.79 <br /> ST.LOUIS PARK,MN 55426 <br /> (612)9240043 <br /> Minnesota State License#:BUIL-1532 <br /> OWNER <br /> DAYTON,ELISABETH <br /> 1225 SHORELINE DR <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 Ciry approvals,and the <br /> State Building Code. This permi[is for only the work described and dces <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 conskvction 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 confortnance 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 />