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PERMIT <br /> CITY .O� ORONO Permit Number: <br /> 2750 Kelley Parkway - PO Box 66 Po6�8s <br /> Crystal Bay, Minnesota 55323 Permit Type: New sm�c�ure <br /> (952) 249-4600 Date Issued: io�22�2003 <br /> SITE ADDRESS: 3753 Casco Ave <br /> Wayzata,MN 55391 <br /> P I D: 20-117-23-31-0009 <br /> DESCRIPTION: UBC Occupancy R3 <br /> Construction T e VN <br /> Proposed Use: Residential <br /> Pernut Class: Building Census Co 434 <br /> Pernut Type: New Structure Pernut b-type(s): New Home-Single Family <br /> DETAILS: <br /> Approved per resolution#: <br /> Separate pernuts required: riumbing iviec;nanicai rirepiace waier�ecnon�ewer i,onneciion imgation Eiecmcai�s[aiej <br /> , <br /> % <br /> / <br /> NOTICES/REMARKS: <br /> �r ♦rw,rt��rvrnr.r�rmrn�wrw.���� innn <br /> FEE SUMMARY: Permit Fee: $ 1,833.75 Valuation: $ 250,000.00 <br /> P1anReviewFee: $ 1,192.03 <br /> State Surcharge Fee• $ 125.50 <br /> TOTAL FE : $ 3,151.28 <br /> APPLICANT: 7ason Artemiuk OWNER: Jason Artemiuk&Alisa Miller <br /> 4755 Park Co ons Drive#109 3753 Casco Ave <br /> St.Louis Pa ,MN 55416 Wayzata,MN 55391 <br /> THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED <br /> AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF <br /> MINNESOTA BUILDING CODE REQUIREMENTS. <br /> \ ,, ' <br /> �� <br /> a n <br /> � � ��, � �,�-- �� �—�,��,-. ,� <br /> _ APPL[CANTPERM[TEESIGNATURE ISSUEDBYSIGNATURE <br /> Conies: 1-File(SiQnitures Required), 1-Apolicant, 1-Monthlv Reports, 1-Assessins, 1-Finance Page 1 <br />