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CITY OF ORONO PERMIT NO.: 2011-00338 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 05/13/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> 1111.4-ss 220 WAKEFIELD RD <br /> PIN 36-118-23-31-0010 <br /> LEGAL DESC WAKEFIELD FARMS 2ND ADDN <br /> LOT 001 BLOCK 001 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 140,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 140000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-00339 <br /> i <br /> APPLICANT ADVANCED PLAN REVIEW 842.89 <br /> LECY BROS CONSTRUCTION <br /> 15012 HWY 7 TOTAL 842.89 <br /> MINNETONKA,MN 55345 <br /> (952)746-3783 <br /> Minnesota State License#:20325555 <br /> OWNER <br /> DAVIS,RICHARD <br /> 220 WAKEFIELD RD <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 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 /> Voed at any time fo e. <br /> 5 / C3 / /? <br /> Applicant Permit a Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />