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' ' � � <br /> CITY OF ORONO * 2 0 1 3 — 0 1 2 6 5 * <br /> '� � - 2750 KELLEY PARKWAY pATE 1SSUED: 12/04/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1 161 ELMWOOD AVE <br /> PIN : 07-117-23-14-0029 <br /> LEGAL DESC : SKARP& LINDQUISTS FERNHILL LA <br /> : LOT 009 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROVERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 380,000.00 <br /> NOTE: PLEASE FILI.IN"I'f IE FOLLOWING: <br /> VnLUA"I�ION OF PERM[T: $ $380,000.00 <br /> I�YPE OF PERMI"I�"I�I IIS PAYMEN"I�IS FOR: BU[LDING PERMIT <br /> PERMI"I'� �I�I IIS PRE-PnYM[�:NT IS TIED"I�O: 2013-01266 <br /> APPLICANT ADVANCED PLAN REVIEW 1,778.89 <br /> TOTAL 1,778.89 <br /> COLFAX COMPAN[ES, INC. Payment(s) <br /> 206 MINNETONKA AVE S CHECK 6166 1,778.89 <br /> WAYZATA, MN 55391- <br /> (952) 746-4380 <br /> Minnesota State License#: BUIL-BC636394 <br /> Citv r�f -,.=�}-�r, <br /> OWN ER i75J Kelley �arkway <br /> �rrur�o MN �J,:rJ6 ��-�49-46���, <br /> GARLOCK, MR & MRS BRUCE Receiot No: 3,Cjit11�Z Dee 4, c0i3 <br /> l 161 ELMWOOD AVE <br /> MOUND, MN 55364 R:�iard 5undber�� <br /> r�revious balance: ,�}�� <br /> Per�its <br /> AGREEMENT AND SWORN STATEMENT AV�13-41�C65 1161 Elmwc,od �,77y,�g <br /> �I�he�curk fbr���hich this permit is issued shall be performed accordine to l�1-34�F1U <br /> thc approved plans and specitications,applicable Cit��approvals,and the p13t7 �hBC�(/$1tB Eggp1 Fee, <br /> State Ruildino Code. l�his permit is for only the work described and does -___ _ <br /> not grant permission���r additional or related work�vhich requires separatc �'�t�l: 1,7r8.�)j <br /> permits. All provisions of la���s and ordinances goveming this type of work ��_�_—___ <br /> shall be compied with whether or not specified herein.This permit�vill �h�Ck � <br /> expire and become null and void if construction authorized is not Cheek Na: 61b6 1,'?(,89 <br /> commenced within 180 day�s of the date ofissuance,or ifconstruction is �ayGr: � <br /> suspended for a period of 180 days at any time after work has commenced. R1Ch8rd $u�dbet�j <br /> Tutai Applied: <br /> 1�he applicant is responsible for assuring all required inspections are i,1�1�.�,y <br /> requested in conformance with the State Building Code.This permit may be -`-"'------- <br /> rcvoked at any time for due cause. <br /> / / <br /> npplicant Permitce Signature Date [ssued By S' nature Datc <br />