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, CITY OF ORONO PERMIT NO.: 2010-00533 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE�SSUEn: 06/29/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3265 CARMAN RD <br /> PIN : 20-117-23-14-0011 <br /> LEGAL DESC : CARMAN COVE <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIv TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 26,000.00 <br /> NOTE: PLEASE FILL IN"I'HE FOLLOWING: <br /> VALUATION OF PERMIT: $ 26000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING-REMODEL <br /> PERMIT#1'HIS PRE-PAYMENT IS TIED TO:2010-00534 <br /> APPLICANT ADVANCED PLAN REVIEW 275.44 <br /> C N OSTROM AND SON INC TOTAL 275.44 <br /> 23400 PARK ST <br /> PO BOX 758 PAID WITH CC# 1462 <br /> EXCELSIOR, MN 55331- <br /> Minnesota State License#: 1907 <br /> OWNER <br /> HECTOR, MARK& BONNIE <br /> 3265 CARMAN 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 /> no[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 da[e 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�t any time fo due cause. <br /> / � /�� / `� / / <br /> Applicant ermitee Signature Date Issue By � ature � ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED ABO <br />