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CITY OF ORONO � 0 1 6 - 0 0 7 9 0 * <br /> „ 2750 KELLEY PARKWAY DATE ISSUED: 07/08/2016 <br /> � � � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2660 PHEASANT RD Kt�,iCIVtU <br /> PIN : 21-117-23-23-0022 ��� a n 2Q16 <br /> LEGAL DESC : PHEASANT LAWN �� <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW CITYOF ORONO <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 75,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$75,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2016-00791 <br /> APPLICANT ADVANCED PLAN REVIEW 593.40 <br /> TOTAL 593.40 <br /> MCNiJLTY CONSTRUCTION CO. Payment(s) <br /> 400 2ND AVE. S. CREDIT CARD 8842 593.40 <br /> SUITE 650 <br /> MINNEAPOLIS,MN 55402 <br /> �) <br /> Minnesota State License#: BUIL-BC1560 <br /> OWNER <br /> HAYHURST,GREGORY&GAYLE <br /> 2660 PHESANT RD <br /> EXCELSIOR,MN 55331- <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 /> permiu. All provisions of laws and ordinances goveming 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 /> D ��-e� � �7 � � � ��h <br /> Applicant Permitee Signature Date Issued B ignature Date <br />