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111111111111111111111 nil 1111111111 1111111111111M <br /> CITY OF ORONO * 2012 - 0102S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/12/2012 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2645 WATERTOWN RD <br /> PIN : 04-117-23-12-0008 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 910,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 910,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-01026 <br /> APPLICANT ADVANCED PLAN REVIEW 3,579.39 <br /> GORDON JAMES CONSTRUCTION TOTAL 3,579.39 <br /> 5159 MAIN STREET E <br /> P.O.BOX 306 <br /> MAPLE PLAIN,MN 55359- <br /> (763)479-3117 <br /> Minnesota State License#:20531961 <br /> OWNER <br /> VANOVERBEKE,PETER&AMANDA <br /> 2645 WATERTOWN RD <br /> LONG LAKE,MN 55356- <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 confouriance wi State Building Code.This permit may be <br /> revoked ata se. <br /> Apflicant Pefffiftee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />