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CITY OF ORONO �0 1 � - 0 0 e � 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU10/2017 <br /> ORONO, MN 55356- <br /> ' (952) 249-4600 FAX: (952) 249-4616 <br /> AD RESS : 725 LAKEVIEW PKWY <br /> PIN : 06-117-23-34-0008 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 20 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PkOPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 800,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 800,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERM[T#THIS PRE-PAYMENT IS TIED T0:2017-00014 <br /> APPLICANT ADVANCED PLAN REVIEW 3,383.20 <br /> TOTAL 3,383.20 <br /> SWANSON HOMES Payment(s) <br /> 1360 HAMEL ROAD CHECK 37787 3,383.20 <br /> MEDINA,MN 55340- <br /> (763)478-0320 <br /> Minnesota State License#: BUIL-627982 <br /> OWNER <br /> RUSIN,GRANT&AMANDA <br /> 15508 60TH AVE N <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORIv STATEMENT <br /> The work for which this permit is issued shali 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 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 afrer work has commenced. <br /> The 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 /> � ll�� <br /> , ;i��� �� �. '� ��.�:� �5 � ( - i ( L� i _ I <br /> Ap icant Permitee Signature �at�— Issued By Sign ure Date <br />