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CITY OF ORONO * Z pJ 1 4 - 0 P1 4 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/16/2014 <br /> ORONO,MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3825 NORTH SHORE DR <br /> PIN : 17-117-23-22-0046 <br /> LEGAL DESC : SHERRI LAKEVIEW ESTATES <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 350,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 350000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR:BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2014-00463 <br /> APPLICANT ADVANCED PLAN REVIEW 1,661.89 <br /> TOTAL 1,661.89 <br /> ATLAS HOMES INC Payment(s) <br /> 14450 117TH AVE N CHECK 3069 1,661.89 <br /> DAYTON,MN 55369- <br /> (763)691-9044 <br /> Minnesota State License#:BUIL-BC20269686 <br /> OWNER <br /> �AiT� LQ.vk{SO urC C, <br /> 3845 NORTH SHORE DR <br /> MOUND,MN 55364 <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 the <br /> State Buiiding Code. This permit is for only the work described and dces <br /> not grant permission for additional or related 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �'�Wi W l l <br /> Applicant Permitee gnature Date Issued B ignature Date <br />