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CITY OF ORONO PERMIT NO.: 2011-00063 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 02/02/2011 <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> REPRINTED ON 2/2/2011 <br /> ADDRESS : 2600 WEST LAFAYETTE RD <br /> PIN : 21-117-23-21-0002 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0131 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 25,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 25,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BASEMENT FINISH-2ND FLOOR BATH-MAIN LEVEL FIREPLACE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-00064 <br /> APPLICANT ADVANCED PLAN REVIEW 268.45 <br /> LECY BROS CONSTRUCTION TOTAL 268.45 <br /> 15012 HWY 7 <br /> MINNETONKA, MN 55345 <br /> (952)746-3783 <br /> Minnesota State License#: 20325555 <br /> OWNER <br /> RADUN,JEFF <br /> 2600 WEST LAFAYETTE RD <br /> EXCELSIOR, MN 55331 <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 Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />