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CITYOFORONO * 2013 - 00507 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/17/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2365 GLENDALE COVE LA <br /> PIN ; 34-118-23-33-0068 <br /> LEGAL DESC : GLENDALE COVE <br /> : LOT 009 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 16,500.00 <br /> NOTE: PLEASE FILL [N"CHE FOLLOWING: <br /> VALiJATION OF PERMIT: $ $16500.00 <br /> TYPE OF PF,RMIT THIS PAYMENT IS FOR: BUILDING PI:RMIT <br /> PF,RMIT#THIS PRE-PAYMENT IS TIED"I'O:2013-00506 <br /> APPLICANT ADVANCED PLAN REVIEW 191.75 <br /> DUPONT CONSTRUCTION& REMODELING TOTAL 191.75 <br /> 23014 EIDELWEISS ST NW <br /> ST FRANC[S, MN 55070- PAlD WITH CC# 5796 <br /> (763)753-9796 <br /> OWNER <br /> BARNIER, STEVEN & MELISSA <br /> 2365 GLENDALE COVE LN <br /> LONG LAKE, MN 55356- <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 Yor only the work described and does <br /> not grant permission for additional or related work whicl�requires separate <br /> permits. All provisions of laws and ordinances govcrning this type of work <br /> shall be compied with whether or not specitied 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 are <br /> requested in conformance with the State[3uilding Code.This pennit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />