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CITY OF ORONO * 2 0 1 5 - 0 0 7 1 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/08/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2560 KELLY AVE <br /> PIN : 20-117-23-11-000� <br /> LEGAL DESC : REG.LAND SURVEY NO.0088 <br /> : LOT 000 BLOCK 000 <br /> PERMTT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 315,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$315,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED T0:2015-00719 <br /> APPLICANT ADVANCED PLAN REVIEW 1,601.66 <br /> TOTAL 1,601.66 <br /> ADVANCED HOME EXTERIORS INC Payment(s) <br /> 1161 WAYZATA BLVD E#167 CREDIT CARD 5906 1,601.66 <br /> WAYZATA,MN 55391- <br /> Minnesota State License#:BUIL-BC61860 <br /> OWNER <br /> Intn'1 Ministerial Fellowship <br /> 2560 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 pertnit is for only the work described and dces <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this rype of work <br /> shall be compied with whether or not specified herein.This pennit will <br /> expire and become null and void if construction suthorized 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 /> 1'he 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 />