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CITY OF ORONO *I z 11 I I S II I O I I 2111/11 I*I <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/06/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 820 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-43-0008 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.229 <br /> : LOT 027 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACTIVITY <br /> VALUATION : $ 84,500.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$84,500.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: PORCH ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01289 <br /> APPLICANT ADVANCED PLAN REVIEW 644.57 <br /> TOTAL 644.57 <br /> FREES,KEATON&HANS Payment(s) <br /> 820 OLD CRYSTAL BAY RD S CHECK 5089 644.57 <br /> WAYZATA,MN 55391- <br /> OWNER :,;,i;,0 952.?z19-4600 <br /> FREES,KEATON&HANS Receipt No: 3.014375 Oct 6. 2015 <br /> 820 OLD CRYSTAL BAY RD S <br /> WAYZATA,MN 55391- Keaton Frees <br /> Previous Balance: .00 <br /> Permits <br /> 2015-01288 820 old 644.57 <br /> crystal bay rd s <br /> AGREEMENT AND SWORN STATEMENT 101-34410 <br /> Plan Check/Site Exam Fees <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 Total: 644.57 <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 Check <br /> permits. All provisions of laws and ordinances governing this type of work Check No: 5089 644.57 <br /> shall be compied with whether or not specified herein.This permit will Payor: <br /> expire and become null and void if construction authorized is not Keaton Frees <br /> commenced within 180 days of the date of issuance,or if construction is Total Applied: 644.57 <br /> suspended for a period of 180 days at any time after work has commenced. .00 <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 /> Applicant Permitee Signature Date Issued By Signature Date <br />