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CITY OF ORONO * 2 0 1 4 - 0 PJ 6 9 6 * <br /> 2750 KELLEY PARKWAV DATE ISSUED: 07/07/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3630 EILEEN S"I� <br /> PIN : OS-117-23-21-0013 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT 003 E3LOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIGW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 38,400.00 <br /> NO�I�I?: PLGAS[�;1'II.L IN THG FOLI,OWING: <br /> VALUA'I'ION OF PGRMI"I': $ 38.400.00 <br /> "I�YPE 01=PERMIT TI1(S PAYMF,?v"I� IS FOR: G.�R�GI�: <br /> NI:RMI�I��; "ff IIS YR1:-P;1Y191�:'�'"I�IS�I�II�:[)"f0:2O I�-00(i97 <br /> APPLICANT ADVANCED PLAN REVIEW 366.28 <br /> TOTAL 366.28 <br /> SUSSEL CORPORATION Payment(s) <br /> 654'I�EtANSFER ROAD CREDIT CARD 8735 366.28 <br /> 16B <br /> ST. PAUL, MN 55114- <br /> (651)645-0331 <br /> Minnesota State License�: BUIL-BC001934 <br /> OWNF,R <br /> MCCUI�CHEON, MARK& JAYME <br /> 36�0 EILEEN S"[� <br /> MAPLE PLAIN. MN �5359- <br /> AGREEMENT ANU SWORN STATEMENT <br /> I�he work for which this permit is issucd shall be perfomled according to <br /> the approved plans and specilications,applicable City approvals,and the <br /> State Buildin�Code. This permit is for only the work described and does <br /> not grant permission 1�or additional or related work which requires separate <br /> permits. All provisions of laws and ordinanccs govcrning this type of work <br /> shall be compied with whether or not specificd herein.This permit will <br /> expire and become null and void if constriiction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspendcd for a period of I 80 days at any time after work has commenced. <br /> Thc applicant is responsible tbr assuring all required inspections are <br /> requcsted in conformance with thc State E3uildin�Code.This permit may bc <br /> revuked at any time for due cause. <br /> / / <br /> npplicant Permitee Signature Date Issued 13}Signature Datc <br />