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CITYOFORONO * 2015 — P1PJ745 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/10/2015 <br /> ORONO,MN 55356- � <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2660 PHEASANT RD <br /> PIN : 21-117-23-23-0022 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 75,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:S 75,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#THIS PR�PAYMENT IS TIED TO: 2015-00746 <br /> APPLICANT ADVANCED PLAN REVIEW 59335 <br /> MCNULTY CONSTRCUTION CO. TOTAL 593.35 <br /> 400 2ND AVE. S. Payment(s) <br /> CHECK 6217 59335 <br /> SUITE 650 <br /> MINNEAPOLIS,MN 55402 <br /> 0 <br /> Minnesota State License#:cont-Insurance <br /> OWNER <br /> HAYHURST,GREGORY&GAYLE <br /> 2660 PHESANT RD <br /> EXCELSIOR,MN 55331- <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 Ciry approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional 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 consWction 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 are <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 />