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CITY OF ORONO � <br /> 2750 KELLEY PARKWAY * � 0 1 Z - P1 1 0 9 7 * <br /> DATE ISSUED: 10/3U2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 325 CRESTVIEW AVE <br /> PIN : OS-117-23-14-0031 <br /> LEGAL DESC : BAYSIDE ADDN TO LAKE MINNETONK <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 525,000.00 <br /> NOTE: PLF,ASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERM[T:$ $525,OOQ00 <br /> TYPE OF PGRMIT THiS PAYMEN"I'IS FOR: NEW IiOME; <br /> PERMIT#THIS PRE-PAYMEN"['IS"I'IED TO:2012-01099 <br /> APPLICANT <br /> ADVANCED PLAN REVIEW 2,328.14 <br /> SULLIVAN, WENDY TOTAL 2,328.14 <br /> 3409 26TH. AVE. S <br /> MINNEAPOLIS, MN 55406- PAID W[TH CC# 0979 <br /> OWNER <br /> SULLIVAN, WENDY <br /> 3409 26TH. AVE. S <br /> MINNEAPOLIS, MN 55406- <br /> AGREEMENT AND SWORN STATEMENT <br /> i�he��vrk for which this permit is issucd shall be performed according ro <br /> the approved plans and specif ications,applicable City approvals,and the <br /> Statc[3uilding Code. 'I�his permit is for only the work described and does <br /> nut grant permission for additional or related work which requires separate <br /> permits. All provisions ot laws and ordinances governing this rype of work <br /> shall be compied with whether or not specitied 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 arc <br /> requested in confonnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> , , j.� ���uu � iv,�i , ,� <br /> Applicant Permitee Signature Date Issu B��Signature Datc <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />