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♦ � <br /> CITY OF ORONO * z 0 1 5 - 0 1 3 4 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/20/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 100 CREEK RIDGE PASS <br /> PIN : 03-117-23-12-0016 <br /> LEGAL DESC : CREEKSIDE IN ORONO <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,000,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 1,000,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01350 <br /> APPLICANT ADVANCED PLAN REVIEW 4,065.48 <br /> TOTAL 4,065.48 <br /> GORDON JAMES CONSTRUCTION Payment(s) <br /> 5159 MAIN STREET E CHECK 12522 4,065.48 <br /> P.O.BOX 306 <br /> MAPLE PLAIN,MN 55359- <br /> (763)479-3117 <br /> Minnesota State License#: BUIL-20531961 <br /> OWNER <br /> PETERS, BARRY&KRIS <br /> 19210 HACKAMORE ROAD <br /> CORCORAN, MN 55340- <br /> AGREEMEIYT 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 sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h whether or not specified herein.This permit will <br /> expire and become nuil and void if construction authorized is not <br /> commenced within l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in wnformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. .% <br /> /� / � / <br /> -L� �_� �� � ���/_.5 <br /> Applicant Permitee Signature Date Iss d Signature Date <br />