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. , _ CITY OF ORO O * 2 PJ 1 3 - P1 1 0 4 P1 * <br /> 2750 KELLEY PAR AY DATE ISSUED: 10/04/2013 <br /> ORONO, MN 553 6- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 75 BAYSIDE TR <br /> PIN : 06-117-23-22-9995 <br /> LEGAL DESC : BAYSIDE MEADOWS i <br /> : LOT 5 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL � <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 400,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERM[T: $400,000.00 I <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE i <br /> PERMIT#TFIIS PRF.-PAYMENT IS TIED TO:2013-01041 <br /> APPLICANT I `.r:; ."��_ ... � <br /> 1,856.89 <br /> GONYEA HOMES I ' ' 1,856.89 <br /> 6102 OLSON MEMORIAL HIGHWAY <br /> GOLDEN VALLEY, MN 55427- � �,` <br /> (612)741-9069 � � <br /> Minnesota State License#: 2459 �-- �-� � <br /> , 1,!3= <br /> OWNER I i � <br /> �(i`�"attL kKi�l@I �@P5 <br /> WACHMAN JR., ERVIN -_.._—.--_- <br /> 2135 SALEM CT 1,F:`.�= <br /> LONG LAKE, MN 55356- -�-���'�W�����- <br /> ,,. li'3�4 1.8`�f <br /> AGREEMENT AND SWORN STATEMENT ��'�� <br /> � �i1F`�: �tt:`r <br /> 1'he work t<>r which[his permi[is issued shall be performed according to --------- <br /> the approved plans and specifications,applicable City approvals,and the � � - T��Pr�.a.P�: <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 /> �,� _-- �. __ � / / <br /> �p�e2r�Pe�e Signature Date Issu d By Sig a ure ate <br /> SEPARATE PERMITS REQUIRED FOR WOR�{O HER THAN DESCRIBED AB E. <br />