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WKNEEEMEM <br /> CITY OFO120N0 * 2015 - 00877 * <br /> 2750 KELLEY.PARKWAY DATE ISSUED: 07/15/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 2494616 <br /> ADDRESS : 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 : $ 35,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 35,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DETACHED PORCH OR GAZEBO <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-00876 <br /> APPLICANT ADVANCED PLAN REVIEW 355.26 <br /> TOTAL 355.26 <br /> LECY BROS HOMES Payment(s) <br /> 15012 HWY 7 CHECK 42306 355.26 <br /> MINNETONKA,MN 55345- <br /> (952)944-9499 <br /> Minnesota State License#: BUIL-20325555 <br /> OWNER <br /> DAVIS,RICHARD&BETH <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 /> rev ok d at any time for due cause. I � <br /> ROW .�C.A��! Sj <br /> Applicant Permitee Signature Date Issued By Signa ure Date <br />