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CITY OF ORONO * z 0 1 5 - P1 1 3 3 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/15/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1185 FERNDALE RD W <br /> PIN : 02-117-23-43-0025 � <br /> LEGAL DESC : REG. LAND SURVEY NO.0397 <br /> : LOT 000 BLOCK 000 � <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW � �`� <br /> VALUATION . $ 311,700.00 � `� <br /> NOTE: PLEASE FILL IN THE FOLLOWING: � � <br /> r� � � <br /> VALUATION OF PERMIT:$ 311,700.00 � � � <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE � <br /> c a ,�C v� <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01332 � � <br /> � <br /> �` <br /> �� <br /> � <br /> � APPLICANT ADVANCED PLAN REVIEW 1,589.37 <br /> TOTAL 1,589.37 <br /> KYLE HUNT&PARTNERS INC. Payment(s) <br /> 18324 MINNETONKA BLVD CHECK 20223 1,58937 <br /> DEEPHAVEN,MN 55391- <br /> (952)476-5999 <br /> Minnesota State License#: BUIL-BC- 1967 <br /> OWIYER �� <br /> ` <br /> WYMAN,JAMES&KATHLYN � <br /> 1185 FERNDALE RD W � <br /> WAYZATA, MN 55391- x <br /> � O � <br /> � <br /> AGREEMENT 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 /> permi[s. 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <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 Signat�re Date Issued By Signature Date <br />