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CITY OF ORONO * 2 0 1 4 — Pl 0 8 5 7 * <br /> 2750 KELLEY PARKWAY pATE �sSUE�: 08/1U2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3309 CRYSTAL BAY RD <br /> PIN : 17-117-23-41-00(6 <br /> LEGAL DF.SC : WALLACES ADDN TO VIL OF MTKA B <br /> : LOT 001 B LOC K 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENT�IAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> ACTI VITY : 434-RESIDENTIAL <br /> VALUATION : $ 380,000.00 <br /> NO"I�l:: PLEASL:FILL IN"I'HF,NOLLOWING: <br /> VALUA"I�ION OF� PERMI"I`. $ 380.000.00 <br /> "I�YPE OF PERMI"l�THIS PAYMEN"I'IS FOR: NEW I IOUSF, <br /> PERMI'C#'CHIS PR&PAYMENT IS"1'IED TO: 2014-00858 <br /> APPLICANT ADVANCED PLAN REVIEW 1,778.89 <br /> TOTAL 1,778.89 <br /> BET'Z BUILUERS INC. Payment(s) <br /> 300 CRESTVIEW AVE. CHECK 19303 1,778.89 <br /> LONG LAKE, MN 55356 <br /> (612)221-2963 <br /> Minnesota State License#: BUIL-BC3515 <br /> OWNER <br /> SCHMID, DAV[D <br /> 3309 CRYSTAL BAY RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> l�he 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. 'l�his permit is for only the work described and does <br /> not grant pennission 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 widiin 180 days of the date of issuance,or if construction is <br /> suspcnded for a period of 180 days at any time afler 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 anv time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued [3��Signature Date <br />