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CITY OF ORONO * 2 0 1 z - 0 0 z 4 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/02/2012 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 75 STUBBS BAY RD N <br /> PIN : 32-118-23-34-0014 <br /> LEGAL DESC : UNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 12,880.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 12880.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00243 <br /> APPLICANT ADVANCED PLAN REVIEW 153.40 <br /> GATES GENERAL CONTRACTORS <br /> 3500 VICKSBURG LANE N TOTAL 153.40 <br /> PLYMOUTH,MN 55447- PAID WITH CC# 7533 <br /> Minnesota State License#: 6793 <br /> OWNER <br /> MALBY,DONALD <br /> 75 STUBBS BAY RD N <br /> MAPLE PLAIN,MN 55359- <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 sepazate <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 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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />