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CITY OF ORONO * Z 0 1 2 - 0 0 4 8 8 * <br /> ,�1 2750 KELLEY PARKWAY DATE ISSUED: 06/04/2012 <br /> � , ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3980 DAHL RD <br /> PIN : 08-117-23-23-0001 <br /> LEGAL DESC : UNPLATTED 08 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUAT[ON : $ 1,000,100.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERM[T:$ 1,OOQ100.00 <br /> TYPE OF PERMIT THIS PAYMGNT IS FOR: NEW STRUCTURE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00489 <br /> / <br /> APPLICANT ADVANCED PLAN REVIEW 3,874.49 <br /> NARR CONSTRUCTION, WC. TOTAL 3,874.49 <br /> P.O. BOX 5007 <br /> HOPKINS, MN 55343 <br /> (952)938-8781 <br /> Minnesota State License#: 3785 <br /> OWNER <br /> MCGLYNN, THOMAS& TONI <br /> 3980 DAHL RD <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The worh 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 gran[pennission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing[his 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 afrer 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 ��� �� �� �� <br /> Is ed By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />