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CITY OF ORONO II I 11111111 11 II1111111111 II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/17/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1101 WILLOWBROOK DR <br /> PIN : 26-118-23-41-0003 <br /> LEGAL DESC : WILLOWBROOK <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 23,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $23,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: PORCH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01095 <br /> APPLICANT ADVANCED PLAN REVIEW 249.28 <br /> PRECISION DECKS TOTAL 249.28 <br /> 20170 75TH AVE N <br /> MINNETRISTA,MN 55364- PAID WITH CC# 9068 <br /> (763)228-4429 <br /> Minnesota State License#:20583025 <br /> OWNER <br /> DELANEY&MARK WITTIG,LUCIA <br /> 1101 WILLOWBROOK DR <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 goveming 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 />