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iiiiiiiiiiiiiiiiiiiiiimniiiiiiiiiiiiiiiiiiiililI <br /> CITY OF ORONO * 2014 - 00531 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/30/2014 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 240 NORTHGATE RD <br /> PIN : 36-118-23-41-0050 <br /> LEGAL DESC : NORTHGATE TWO <br /> : LOT 001 BLOCK 006 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 20,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$20000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INTERIOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00530 <br /> APPLICANT ADVANCED PLAN REVIEW 220.51 <br /> BRIAN STEPHENSON CONST.INC. TOTAL 220.51 <br /> Payment(s) <br /> 2025 PAWNEE RD <br /> CREDIT CARD 3122 220.51 <br /> MEDINA,MN <br /> (612)889-0477 <br /> Minnesota State License#:BUIL-20222459 <br /> OWNER <br /> CARISCH, STACY <br /> 240 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 /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />