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CITY OF ORONO PERMIT NO.: 2011-01353 2750 KELLEY PARKWAY ORONO, MN 55356- DATE ISSUED: 11/02/2011 952 249-4600 FAX: 952 249-4616 ADDRES 505 WILLOW DR S PIN -�,y� 04-117-23-41-0012 LEGAL DESC MAJESTIC SPRUCE ADDITION LOT 2 BLOCK 1 PERMIT TYPE ADVANCED PLAN REVIEW PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REVIEW VALUATION : $ 150,000.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT:$ 150000.00 TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT PERMIT#THIS PRE-PAYMENT IS TIED TO:BUILDING PERMIT-2011-001352 APPLICANT ADVANCED PLAN REVIEW 881.89 PRATT HOMES 3500 WILOW LAKE BLVD TOTAL 881.89 VADNAIS HEIGHTS,MN 55127- PAID WITH CC# 8088 (651)429-8032 Minnesota State License#:BC000001 OWNER MOORHOUSE,MARK 505 WILLOW DR S 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 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.