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CITY OF ORONO * Z 0 1 5 — 0 0 0 3 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OUl2/2015 <br /> ORONO, MN 55356- <br /> � 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2617 CASCO POINT RD <br /> PIN : 20-117-23-24-0035 <br /> LEGAL DESC : WINSHIPS SUBD LOT 1 SPRING PK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOiY TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 200,000.00 <br /> NOTE: PLEASF,FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 200,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: ADDITION TO HOMG <br /> PF.RMI'I'#THIS PRE-PAYMENT IS TIED TO:2015-00034 <br /> APPLICAIVT ADVANCED PLAN REVIEW 1,130.73 <br /> TOTAL 1,130.73 <br /> AMEK CUSTOM BUILDERS Payment(s) <br /> 9340 JAMES AVE S CREDIT CARD 0430 1,130.73 <br /> BLOOMINGTON,MN 55431- <br /> (952)888-1200 <br /> Minnesota State License#: BUIL-20164402 <br /> OWNER <br /> MARQUARDT,GARY&JOAN <br /> 2617 CASCO PT RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,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 rela[ed work which requires separate <br /> permits. 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[he Sta[e Building Code.This permit may be <br /> revoked at any ime for du ause. � <br /> ����J <br /> r <br /> z �' ��.� L-yy1_C,c� � � �� � / 1 <br /> App i a ermitee Signature ate Issued By Signature Date <br />