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CITY OF ORONO PERMIT NO.: 2011-01296 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUED: 10/2U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 650 BROWN RD N <br /> PIN : 34-118-23-12-0004 <br /> LEGAL DESC : UNPLATTED 34 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 42,000.00 <br /> NO"1'E: PLEASE FILL IN THG FOLLOWING: <br /> VALUATION OP PERM[T:$ 42000.00 <br /> TYPE OF PERMIT T}IIS PAYMEN7'IS FOK: KITCHEN REMOD�L-ENCLOSE SCRGEN PORCH <br /> PERMIT#TH1S PRE-PAYMGNT IS TIED TO:201 1-01297 <br /> APPLICANT ADVANCED PLAN REVIEW 387.24 <br /> G. THOMAS CONSTRUCTION CO <br /> 13750 IOTH STREET N TOTAL 387.24 <br /> STILLWATER, MN 55082- PAID WITH CC# 1184 <br /> (651)436-6599 <br /> Minnesota State License#: 542093 <br /> OWNER <br /> GARRETT, WARREN&TANA <br /> 650 BROWN RD N <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMEi�1T <br /> I'he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State[3uildinb Code. '�his 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 specitied 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 l80 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 /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />