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, CITY OF ORONO * 2 0 1 S — 0 1 4 9 0 * <br /> • ' 2750 KELLEY PARKWAY DATE ISSUED: 1 U19/2015 <br /> ' ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 KOKESH FARM RD <br /> PIN : 31-118-23-14-0009 <br /> LEGAL DESC : KOKESH FARMS <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 750,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 750,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01489 <br /> APPLICANT ADVANCED PLAN REVIEW 3,212.57 <br /> NARR CONSTRUCTION,INC. TOTAL 3,212.57 <br /> P.O.BOX 5007 Payment(s) <br /> HOPKINS,MN 55343 CHECK 40290 3,212.57 <br /> (952)938-8781 <br /> Minnesota State License#: BUIL-3785 <br /> OWNER <br /> LITECKY,MARK&ANITA <br /> 515 KOKESH FARM RD <br /> MAPLE PLAIN,MN 55359- <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 pertnission for additional or related work which requires separate <br /> permits. All provisions of►aws 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 applicant is responsible for assuring all required inspections aze <br /> requested i nformance with the State Building Code.This permit may be <br /> revoke an time for due cause. �f/) <br /> � vv <br /> 1`�Q �S� `��-`�C� � / <br /> A ic rmitee Sign ure D te Issued By Signature Date <br />