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CITY OF ORONO PERMIT NO.: 2011-00581 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 07/05/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 700 SIXTH AVE N <br /> PIN : 25-118-23-32-0003 <br /> LEGAL DESC : LJNPLATTED 25 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 190,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 190,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: KITCHEN REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-00582 <br /> APPLICANT ADVANCED PLAN REVIEW 1,037.89 <br /> CHOICE WOOD COMPANY TOTAL 1,037.89 <br /> 3300 GORHAM <br /> ST.LOUIS PARK,MN 55426 PAID WITH CC# +�J�„a�11 <br /> (612)924-0043 '��9 9 <br /> Minnesota State License#: 1532 <br /> OWNER <br /> BOLGAR,DANIEL <br /> 700 SIXTH AVE N <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 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 govemiag 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 confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / �/ <br /> Applicant Permitee Signature Date Iss By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />