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CITYOFORONO * Z016 - PJPJ853 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/20/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1240 ARBOR ST <br /> PIN : 10-117-23-31-0099 <br /> LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 180,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 180,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW SINGLE FAMILY HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00854 <br /> APPLICANT ADVANCED PLAN REVIEW 1,049.05 <br /> TOTAL 1,049.05 <br /> DRUK,TIM Payment(s) <br /> 4308 115TH STREET SE 1,049.05 <br /> DELANO, MN 55328- <br /> OWNER <br /> DRUK,TIM <br /> 4308 115TH STREET SE <br /> DELANO,MN 55328- <br /> ACREEMENT 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 separate <br /> permits. All provisions of laws and ordinances governing 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 l80 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 Issued By Signature Date <br />