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CITY OF ORONO * z 0 1 4 - PJ 0 4 5 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/15/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> Arf'?i2ESS : 345 NORTH ARM LA <br /> PIN : 06-117-23-24-0015 <br /> LEGAL DESC : NORTH ARM OVERLOOK <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 55,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERM[T: $ $55,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMI;NT IS TIED TO:2014-00457 <br /> APPLICANT ADVANCED PLAN REVIEW 467.51 <br /> LECY BROS HOMES TOTAL 467.51 <br /> 15012 HWY 7 Payment(s) <br /> CREDIT CARD 1979 467.51 <br /> MINNETONKA, MN 55345- <br /> (952)944-9499 <br /> Minnesota State License#: BUIL-20325555 <br /> OWNER <br /> SIPPRELL, DAVID&CARLA <br /> 345 NORTH ARM LA <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The�vork 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 permi[is for only[he work described and does <br /> not grant permission tbr addiYional 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 permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the da[e of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> I�he applicant is responsible for assuring all required inspections are <br /> requested in confonnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � <br /> - !3 / � - / / <br /> A pli t Permi ee Signatur ate Issued B ' nature � Date <br /> �------ <br />