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CITY OF ORONO PERMIT NO.: 2009-00632 <br /> � 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 09/24/2009 � <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3438 LYRIC AVE <br /> PIN : 17-117-23-43-0077 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 023 BLOCK 005 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$6500.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2009-00631 <br /> APPLICANT ADVANCED PLAN REVIEW 91.08 <br /> S B CONSTRUCTION TOTAL 91.08 <br /> 49 TTH AVE S <br /> HOPKINS,MN 55343- <br /> (612)251-6256 <br /> Minnesota State License#:20630224 <br /> OWNER <br /> HUDLOW,LOIS <br /> 3438 LYRIC AVE <br /> WAYZATA,MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Buiiding Code. This permit is for only the work described a►�d does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws 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 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 /> C'L'DADATL'nL`DLd7T(� D�l177TnTTT!l1n �i��lnvllTTTT!TTrr��rr�r��r.rr•r� •rr.:..�. <br />