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I CITY OF ORONO HI I 01 I >I II III III 111111 <br /> * Z 1 4 - 0 1 39 1 <br /> . if - , j 2750 KELLEY PARKWAY <br /> DATE ISSUED:: 12/05/2014 <br /> ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 105 ORO O ORCHARD RD N <br /> PIN : 35-118-23 33-0003 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANED PLAN REVIEW <br /> VALUATION : $ 110,00¢.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 110,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: GARAGE <br /> THIS PRE-PAYMENT IS TIED TO:2014-013 2 <br /> i <br /> 11APPLICANT ADVANCED PLAN REVIEW 725.89 <br /> TOTAL 725.89 <br /> GORDON JAMES CONSTRUCTION Payment(s) <br /> 5159 MAIN STREET E CHECK 9228 725.89 <br /> P.O.BOX 306 I <br /> MAPLE PLAIN,MN 55359- <br /> (763)479-3117 <br /> Minnesota State License#: BUIL-20531961 <br /> City of Orono <br /> OWNER 2750 Kelley Parkway <br /> Orono MN 55356 952-249-4600 <br /> LOWE,JAMES <br /> 105 ORONO ORCHARD RD N Receipt No: 3.012420 Dec 5, 2014 <br /> LONG LAKE, MN 55356- <br /> Gordon James <br /> Previous Balance: .00 <br /> Permits <br /> AGREEMENT AND SWORN STATEMENT 2014-01391 725.89 <br /> 101-34410 <br /> The work for which this permit is issued shall e performed according to Plan Check/Site Exam Fees <br /> the approved plans and specifications,applica le City approvals,and the <br /> State Building Code. This permit is for only t e work described and does Total: 725.89 <br /> not grant permission for additional or related ork which requires separate -- <br /> permits. All provisions of laws and ordinance governing this type of work Check <br /> shall be compied with whether or not specifie4 herein.This permit will Check N0: 922$ 725.89 <br /> Payor: <br /> expire and become null and void if constructs n authorized is not GC r'1" I'M": <br /> commenced within 180 days of the date of iss ance,or if construction is Tot, . <br /> suspended for a period of 180 days at any timeafter work has commenced. -- <br /> The applicant is responsible for assuring all r quired inspections are Chal .. ._ _ _ __ <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. I <br /> itirl (7-)-1ICa t-" / 5 /V <br /> Applicant Permitee Signature Date <br /> Issued By Signature Date <br />