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�� . ' CITY OF ORONO PEarv�iT�vo.: 20�0-0041� <br /> ' � ' 2750 KELLEY PARKWAY <br /> . <br /> ORONO, MN 55356- �AT� ISSUEu: 06/OU2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3980 CHERRY AVE <br /> PIN : 08-117-23-33-0026 <br /> LEGAL DESC : CRYSTAL BAY VIEW <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL `� . <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW �Q <br /> VALUATION : $ 175,000.00 v� <br /> NOTE: PLEASE FILL IN THE FOI,LOWING: i%����,�� <br /> VALUATION OF PERMIT: $ 175000A0 � <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING � <br /> PERMIT#THIS PRE-PAYMEN"t'IS TIED TO: 2010-00412 '��(•�-'��--� ��IC��/�'� �C_- <br /> `���'�-(/�-�/ /�I./�..C/ �%%1,G�(�C..(�� <br /> � , � <br /> APPLICANT ADVANCED PLAN REV[EW 979.39 <br /> SCHULTZ, KEVIN TOTAL 979.39 <br /> 5620 GIRARD AVE N <br /> MINNEAPOL[S, MN 55430- PAID WITH CC# 1019 <br /> OWNER � <br /> SCHULTZ KEVIN =�.ei1.. ,_ • <br /> , , _ � _ <br /> Y� ►�r` ,�;., <br /> r <br /> 5620 GIRARD AVE N <br /> MINNEAPOLIS,MN 55430- �_�Ait�� �N'�•� �: ';r��'���,. �,t; s'��1, �. <br /> AGREEMENT AND SWORN STATEMENT <br /> The 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 Building Code. This permit is for only the work described and does ,;-;?.. <br /> not grant permission for additional or related work which requires separate `,.;s7; '�'r <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 ':;,d:s <br /> expire and become null and void if construction authorized is not � � � � <br /> commenced within]80 days of the da[e of issuance,or if construction is � ����� <br /> suspended for a period of I 80 days at any time afrer work has commenced. '`�r `. <br /> The applicant is responsible for assuring all required inspections are + �',' ' <br /> requested in confor ance with the State E3uilding Code.This pennit may be � <br /> revoked at any � e for due ca <br /> , � <br /> _ � � / � C',c;i l� (�y�� <br /> / / <br /> pplicant P i ee Signature Date Issued By ignature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. <br />