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CITY OF ORONO * z 0 1 3 - PJ 0 4 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/28/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3470 BIRCH LA <br /> PIN : 08-117-23-43-0001 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 9,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $9,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: REPAIRS TO PORCH <br /> PERMIT#THIS PRGPAYMENT IS TIED TO:2013-00417 <br /> APPLICANT ADVANCED PLAN REVIEW 115.05 <br /> CASTLE ROCK COMPANIES, INC. TOTAL ]15.05 <br /> 2850 LINDGREN LN <br /> INDEPENDENCE, MN 55359 PAID WITH CC# 0239 <br /> (612)308-6832 <br /> Minnesota State License#: BC445193 <br /> OWNER <br /> BERNARD, MR. & MRS. <br /> 3470 BIRCH LA <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 specifications,applicable City 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.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of[he da[e of issuance,or if construction is <br /> suspended for a period of I 80 days at any time afrer work ha commenced. <br /> The applic i responsible for assuring all r ired insp ons are <br /> requ�d in nformance � th State B i ing Code is permit may be <br /> revoked at ny time fo/ ue cause. <br /> � / / <br /> / / <br /> � nt Perm tee S' nature � Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />