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CITY OF ORONO * z 0 1 7 - 0 PJ 8 3 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 770 NORTH ARM DR <br /> P[N : 06-117-23-43-0009 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 362 <br /> : LOT 006 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 9,800.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$9800.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DECK REPLACEMENT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2017-00834 <br /> APPLICANT ADVANCED PLAN REVIEW 130.86 <br /> TOTAL 130.86 <br /> PLUMBLINE BUILDERS Payment(s) <br /> 1887 SUNRISE COURT CREDIT CARD 4389 130.86 <br /> EAGAN, MN 55122- <br /> (952)994-5631 <br /> Minnesota State License#: BUIL-BC0002939 <br /> OWNER <br /> CARLSON,JEFFREY <br /> 770 NORTH ARM DR <br /> MOUND, MN 55364- <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 E3uilding 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 1 SO 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 /> ` �--�� � i ��i l <br /> Applicant Permitee Signature Date I sued By gnature Date <br />