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CITY OF ORONO PERMIT NO.: 2o�aoo�so <br /> 2750 KELLEY PARKWAY <br /> ,f` ORONO, MN 55356- DATE IssuEn: 08/30/2010 <br /> ' 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 60 MYRTLEWOOD RD <br /> PIN : 36-118-23-33-0020 <br /> LEGAL DESC : REG.LAND SURVEY NO.0446 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 120,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 120,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00780 <br /> APPLICANT ADVANCED PLAN REVIEW 764.89 <br /> PLEKKENPOL BUILDERS TOTAL 764.89 <br /> 401 E 78TH ST <br /> BLOOMINGTON,MN 5542a PAID WITH CC# 3447 <br /> (952)888-2225 <br /> Minnesota State License#: 1797 <br /> OWNER <br /> HARTMAN,TODD <br /> 60 MYRTLEWOOD RD <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 pertnit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />