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H I.1 III 11. 11111111111111 11 <br /> 1 . 275C0 OF ORONO * 2017 - 00196 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/03/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1099 WILLOW DR S <br /> PIN : 10-117-23-24-0016 <br /> LEGAL DESC : UNPLATTED 10 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 75,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$75,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00197 <br /> APPLICANT ADVANCED PLAN REVIEW 593.40 <br /> DOWNING,KATHERINE TOTAL 593.40 <br /> Payment(s) <br /> 1099 WILLOW DR S <br /> WAYZATA, MN 55391- CREDIT CARD 9750 593.40 <br /> OWNER <br /> DOWNING, KATHERINE <br /> 1099 WILLOW DR S <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 /> revoked at any time for due cause. <br /> ,.) 4----{— <br /> ArrI ant Perin're Signature Date �Issued 1StZr <br /> 7 <br /> Date <br />