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CITY OF ORONO * Z 0 1 6 - PJ PJ 8 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/19/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS • : 2040 SPATES AVE <br /> PIN <� : 10-117-23-31-0090 <br /> LEGAC D�SC : ORA PARK ON LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 600,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 600,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED T0:2016-00838 <br /> APPLICANT ADVANCED PLAN REVIEW 2,700.70 <br /> TOTAL 2,700.70 <br /> CITY HOMES Payment(s) <br /> 3918 SiJNNYSIDE RD CHECK 1010 2,700.70 <br /> EDINA,MN 55424- <br /> (952)486-0567 <br /> Minnesota State License#:BUIL-BC673138 <br /> OWNER <br /> ammer� Su�ran <br /> 2040 SPATES AVE <br /> WAYZATA,MN 55391- <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 Building 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 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 /> , <br /> � I �� 1 �' �h � �' � _�,_�-���L_.� �l ��r� �(r, <br /> I <br /> pli �tee Signature ate Issued By Signature Date <br />