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CITY OF ORONO * 2 0 1 6 — 0 0 7 1 9 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/21/2016 <br /> ORONO,MN 55356- <br /> r (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS 220 NORTHGATE RD <br /> PIIS 36-118-23-41-0051 <br /> LEGAL DESC NORTHGATE TWO <br /> LOT 001 BLOCK 007 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 200,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 200,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00718 <br /> APPLICANT ADVANCED PLAN REVIEW 1,130.95 <br /> CYCLONE CONSTRUCTION TOTAL 1,130.95 <br /> 2876 FAIRWAY DR Payment(s) <br /> CHASKA,MN 55318- CREDIT CARD 1603 1,130.95 <br /> (651)398-3622 <br /> Minnesota State License#:BUIL-429008 <br /> OWNER <br /> SEE,HENRY&GAIL <br /> 220 NORTHGATE RD <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 /> revok 7 time for due cause. <br /> R", -fs <br /> Aprfflcan;4'errfiitee Signature Date Issued By Signature Date <br />