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CITY OF ORONO (' �I' 1' <br /> 2750 KELLEY PARKWAY * 2 1 S - 00327 <br /> DATE ISUED: 03/21/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 200 BEDERWOOD DR <br /> PIN : 05-117-23-12-0027 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.203 <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 30,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$30,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BASEMENT FINISH <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00328 <br /> APPLICANT ADVANCED PLAN REVIEW 318.58 <br /> MAETZOLD HOMES,INC. TOTAL 318.58 <br /> Payment(s) <br /> 5750 HIGHWAY 25 <br /> MAYER,MN 55360 CREDIT CARD 1768 318.58 <br /> (952)657-2139 <br /> Minnesota State License#:BUIL-20285530 <br /> OWNER <br /> AZAD,ALISHAH <br /> 200 BEDERWOOD DR <br /> LONG LAKE,MN 55356- <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 /> f?() '3 /494'i t; <br /> Applicant Permitee Signature Date Issued B ignature Date <br />