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CITY OF ORONO * Z 0 1 3 - 0 1 2 5 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/02/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2190 KENWOOD WAY <br /> PIN : 17-117-23-41-0027 <br /> LEGAL DESC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE� : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 6,500.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ $6500.00 <br /> TYPE OF PERMIT TIdIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-01255 <br /> APPLICANT ADVANCED PLAN REVIEW 95.88 <br /> DANIELS, DUSTIN&TERESA TOTAL 95.88 <br /> 2190 KENWOOD WAY <br /> WAYZATA,MN 55391- PAID WITH CC# 2044 <br /> OWNER <br /> DANIELS, DUSTIN&TERESA <br /> 2190 KENWOOD WAY <br /> WAYZATA, MN 55391- <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 governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nuli 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 aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> equested in conf with the State B 'ding Code.This pertnit may be <br /> re ked at any fo du cause. <br /> _ � tz` 2 �Zv,3 <br /> i i <br /> pp icant Permitee Signa re Date Iss ed ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTH THAN DESCRIBED A <br />