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MUMBEHUHMM <br /> CITY OF ORONO * 2 0 1 3 - 0 0 S 0 S * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2510 OLD BEACH RD <br /> PIN ; 21-117-23-22-0007 <br /> LEGAL DESC : SHORE HILLS <br /> LOT 022 BLOCK 000 <br /> PERMIT TYPE ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION : $ 2,700.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ $2700.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00504 <br /> APPLICANT ADVANCED PLAN REVIEW 57.53 <br /> OLSON,TIMOTHY TOTAL 57.53 <br /> 2510 OLD BEACH RD <br /> WAYZATA,MN 55391- <br /> OWNER <br /> OLSON,TIMOTHY <br /> 2510 OLD BEACH 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 a State Building Code.This permit may be <br /> revoked at anor due cause. <br /> Ap cant Permitee Signature Date Issued-By ature D to <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO)DE. <br />