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CITY OF ORONO * 2012 - 00969 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/28/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADPRESS 2995 WATERTOWN RD <br /> Pllq 04-117-23-21-0010 <br /> LEGAL DESC OLD CRYSTAL BAY ROAD 2ND ADDN <br /> LOT 003 BLOCK 003 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 14,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 14,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: GARDEN SHED <br /> PAYMENT IS TIED TO:2012-00970 <br /> APPLICANT ADVANCED PLAN REVIEW 162.99 <br /> SAM MESSICK <br /> 1930 FOUNTAIN LANE N TOTAL 162.99 <br /> PLYMOUTH,MN 55447- PAID WITH CC# 1668 <br /> (612)310-5494 <br /> Minnesota State License#:BC639427 <br /> OWNER <br /> SMITH,CHRISTOPER&ELANOR <br /> 2995 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date <br /> Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />