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f , IIII 11 111 IIII 1111111111111111111111111 CITY OF ORONO * 2018 - 00280 * 2750 KELLEY PARKWAY DATE ISSUED: 03/13/2018 ORONO,MN 55356- (952)249-4600 FAX: (952) 249-4616 ADDRESS : 1849 WEST FARM RD PIN : 27-118-23-43-0026 LEGAL DESC : N/A : LOT 14 BLOCK 1 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW ACTIVITY : 434-RESIDENTIAL VALUATION : $ 165,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$165000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: BASEMENT FINISH PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00281 APPLICANT ADVANCED PLAN REVIEW 987.62 TOTAL 987.62 NEXT ERA CONSTRUCTION 1211 WINDRUSH RD Payment(s) CHECK 7142 987.62 BUFFALO,MN 55313- (763)286-1380 Minnesota State License#:BUIL-BC 668680 OWNER SHULER,SUSAN&DAVID 1849 WEST FARM RD LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. Applicant Permitee Signature Date Issued By Signature Date