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CITYOFORONO * z0 14 - 00350 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/23/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 825 BROWN RD S <br /> PIN : 10-117-23-21-0008 <br /> LEGAL DESC : CARRIAGE HILL <br />' : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 78>500.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMI7': $78,500.00 <br /> "1'YP}?OF PERMIT THIS PAYMENT IS FOR: INTERIOR R�MODF,L <br /> PERMI'i'#THIS PRE-PAYMENT IS TIEU"I�O:20 1 4-003 5 1 <br /> APPLICANT ADVANCED PLAN REVIEW 584.51 <br /> TOTAL 584.51 <br /> TRESTLE CUSTOM HOMES, LLC Payment(s) <br /> 5227 OAKLAWN AVENUE CREDIT CARD 4775 584.51 <br /> EDINA, MN 55424- <br /> Minnesota State License#: BUIL-BC652324 <br /> OWNER <br /> FERNANDEZ, MICHAEL& PATRICIA <br /> 825 BROWN RD S <br /> LONG LAKE, MN SS356- <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 Cit}'approvals,and [he <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 /> permi[s. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.'I'his 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 a[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 causc. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signaturc Date <br />