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CITY OF ORONO * 2 PJ 1 4 — 0 1 3 9 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/08/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 965 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-14-0001 <br /> LEGAL DF,SC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCF,D PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 160,000.00 <br /> NOTE: PLEASE PILL IN 7'HE FOLLOW[NG: <br /> VALUAT[ON OF PF;RMI"1': $ 160,000.00 <br /> I�YPE OE'PERMI"I'"THIS PAYMEN r IS FOR: IN"1'E;RIOR REMODEL <br /> PI:RMI"C�'I�HIS PRH;PAYMF.N"I�IS 1'IED TO: 2014-01400 <br /> APPLICANT ADVANCED PLAN REVIEW 920.89 <br /> CRAFTMASTER CONS"I�RUCTION TOTAL 920.89 <br /> Payment(s) <br /> P O BOX 245 CREDIT CARD 6788 920.89 <br /> HANOVER, MN 55341- <br /> (763)682-9147 <br /> Minnesota State License#: BUIL-BC062809 <br /> OWNER <br /> CUSICK, MR. &MRS. THOMAS <br /> 965 EDGEWOOD HILLS RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORIY STATEMENT <br /> I�he work for which this permit is issued shall be pertormed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is ti�r only the work described and does <br /> not 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 compicd with whether or not specitied herein.This pennit will <br /> expire and become null and void if construction authorized is not <br /> commenced w�ithin 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 confonnance with the State Buildino Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitce Signature Date Issued [3y Signature Date <br />