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CITY OF ORONO � I 1 I ISI' 1 I ! l 'I <br /> * 20 1 5 - 0 1 045 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/19/2015 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2350 OLIVER HILL <br /> PIN : 34-118-23-33-0071 <br /> LEGAL DESC : OLIVER HILL <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 525,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$525,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01046 <br /> APPLICANT ADVANCED PLAN REVIEW 2,444.55 <br /> TOTAL 2,444.55 <br /> GORDON JAMES CONSTRUCTION Payment(s) <br /> 5159 MAIN STREET E CHECK 12400 2,444.55 <br /> P.O.BOX 306 <br /> MAPLE PLAIN,MN 55359- <br /> (763)479-3117 <br /> Minnesota State License#:BUIL-20531961 <br /> OWNER <br /> MARTIN,WILLIAM&PATRICIA Receipt No: 3.014037 Aug 19, 2015 <br /> 2380 WATERTOWN RD <br /> LONG LAKE,MN 55356- <br /> Gordon James <br /> Previous Balance: .00 <br /> AGREEMENT AND SWORN STATEMENT Permits <br /> 2015-01045 2350 Oliver 2,444.55 <br /> The work for which this permit is issued shall be performed according to Hill <br /> the approved plans and specifications,applicable City approvals,and the 101-34410 <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate Plan Check/Site Exam Fees <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 Total: 2,444.55 <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 Check 2,444.55 <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 Payor. <br /> requested in conformance with the State Building Code.This permit may be J - <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />