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CITY OF ORONO PERMIT NO.: 20��-oos�2 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEn: 07/OU2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1685 FOX ST <br /> PIN : 03-117-23-44-0004 <br /> LEGAL DESC : HANSER ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> COIYSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 40,000.00 <br /> NOTE: PLLASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 40,000 <br /> TYP�OF PERMIT THIS PAYMENT IS FOR: 13UILDING PERMIT FOR DECK <br /> PERMIT#THIS PRE-PAYMENI'IS TIED TO:201 1-00573 <br /> APPLICANT ADVANCED PLAN REVIEW 373.26 <br /> AULIK&ASSOCIATES TOTAL 373.26 <br /> 6401 WAYZATA BLVD <br /> ST LOUIS PARK, MN 55416- PAID WITH CC# 2948 <br /> (952)591-1500 <br /> OWNER <br /> W. Duncan MacMillan Trust <br /> 1685 FOX ST <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 pennission 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 construction authorized is not <br /> commenced within l80 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 /> l l �C.._� 7/ D ( l <br /> Applicant Permitee Signature Date Issue Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />