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.. , CITY OF ORONO PERMIT NO.: 20o9-oos24 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: lUi6/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2497 KELLY AVE <br /> PIN : 20-117-23-12-0051 <br /> LEGAL DESC : KELLY COVE <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$10,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING A DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:PERMIT#2009-00818 <br /> APPLICANT ADVANCED PLAN REVIEW 124.64 <br /> NEW IMAGE DECK CONSTRUCTION TOTAL 124.64 <br /> 1758 STERLING RD <br /> WACONIA,MN 55387 PAID WITH CC# 7134 <br /> (952)442-1308 <br /> Minnesota State License#:20219985 <br /> OWNER <br /> STRALEY, STANLEY&MARLENE <br /> 2497 KELLY AVE <br /> EXCELSIOR,MN 55331- <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 /> permits. All provisions of laws and ordinances goveming 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 appiicant 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 Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />