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CITY OF ORONO * z 0 1 4 - 0 1 0 P1 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/04/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3484 LYRIC AVE <br /> PIN : 17-117-23-43-0157 <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT MB BLOCK 5 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 150,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 150,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS T1ED TO:2014-01002 <br /> APPLICANT ADVANCED PLAN REVIEW 881.89 <br /> GRADY RESTORATIN LLC TOTAL 881.89 <br /> Payment(s) <br /> 760 APPLEGARDEN ROAD CREDIT CARD 5561 881.89 <br /> MOIJND, MN 55364- <br /> (952)472-1576 <br /> Minnesota State License#: BUIL-BC653190 <br /> OWNER <br /> Energy Star Homes of MN <br /> 25 MOUND AVE <br /> TONKA BAY,MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned 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 sepazate <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 1 SO 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at time for d cause. <br /> / / <br /> Applic t e itee Signat re D te Issued By Signature Date <br /> Z <br />