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CITY OF ORONO * 2019 - 00250 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/07/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 500 WILLOW DR S <br /> PIN 03-117-23-32-0017 <br /> LEGAL DESC N/A <br /> LOT 001 BLOCK 001 <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: ENTRANCE MONUMENTS <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00249 <br /> APPLICANT ADVANCED PLAN REVIEW 171.13 <br /> TOTAL 171.13 <br /> NOR-SON INC <br /> 700 LAKE STREET E Payment(s) <br /> CREDIT CARD 5056 171.13 <br /> WAYZATA,MN 55391- <br /> (952)767-7949 <br /> Minnesota State License#:BUIL-BC001969 <br /> OWNER <br /> MERRY,GRAHAM <br /> 3750 HUNTINGTON AVE S <br /> ST LOUIS PARK,MN 55416- <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 /> dv <br /> Applicant Permitee Signature Date Issued E6 Signature Date <br />