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CITY OF ORONO * 2 0 1 5 - 0 1 4 4 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 1 U20/2015 <br /> ; ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1025 SPRING HILL RD <br /> PIN : 26-118-23-43-0005 <br /> LEGAL DESC : UNPLATTED 26 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 490,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 490,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PR�PAYMENT IS TIED TO:2015-01444 <br /> APPLICANT ADVANCED PLAN REVIEW 2,318.28 <br /> TOTAL 2,318.28 <br /> KUHL DESIGN&BUILD,LLC Payment(s) <br /> 1515 STH STREET SOUTH CHECK 21055 2,318.28 <br /> HOPKINS,MN 55343- <br /> (952)935-9469 <br /> Minnesota State License#: BUIL-BC390161 <br /> OWNER <br /> BOWLSBY,JOHN&CYNDY <br /> 1025 SPRING HILL ROAD <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 does <br /> not grant permission for additional or related work which requires separate <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 /> The applicant is responsible for assuring all required inspections aze <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 />