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CITY OF ORONO * 2 0 1 3 - 0 0 4 B 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/1U2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 115 LUCE LINE RIDGE <br /> PIN : 31-118-23-34-0006 <br /> LEGAL DESC : PAINTERS CREEK <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 42,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 42,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00481 <br /> APPLICANT ADVANCED PLAN REVIEW 387.24 <br /> PRO VISION CONSTRUCTION TOTAL 387.24 <br /> 4372 KALJFMANIS WAY <br /> EAGAN,MN 55123- PAID WITH CC# 4188 <br /> (612)802-1491 <br /> OWNER <br /> LOCKMAN,STEVEN&SONJA <br /> 115 LUCE LINE RIDGE <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 dces <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 pertnit 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �� ��.:� � � { ! � L� / / <br /> Applicant Permitee Signature Date J Issue y S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER HAN DESCRIBED ABO <br />