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CITY OF ORONO PERMIT NO.: 201(�00678 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE IssuEn: 08/09/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4415 NORTH SHORE DR <br /> PIN : 07-117-23-43-0017 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 018 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 10,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 10,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BOAT HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00679 <br /> APPLICANT pDVANCED PLAN REVIEW 124.64 <br /> SMUCKLER CUSTOM BUII,DERS,INC. TOTAL 124.64 <br /> 7509 WASHINGTON AVE. S. <br /> EDINA,MN 55439- � <br /> (952)828-1908 City of Qr•����� <br /> Minnesota State License#:20384253 ; �75[� Ne�ley F�arl�way <br /> � Orun� � �, 9;��4�-45�G <br /> I <br /> OWNER i Aeceipt Nr,: 3.UU3C�`�a Aug G�, 2r,i(� <br /> TWOMEY,DAREA&CHRIS 'I 5oucicler Custom 61dr� <br /> 150 2ND STREET NE <br /> MINNEAPOLIS,MN 55413- �I �'�+}^�j 1$5 <br /> c`��1(,-f�b78 4415 North Sh 1%'4.64 <br /> �7t'� DY 1 VB <br /> AGREEMENT AND SWORN STATEMENT 1(�1-3441U <br /> Plafl Che�k/Sg�e Exa� F�s <br /> 1'he work for which this permit is issued shall be performed according to ! <br /> the approved plans and specifications,applicable City approvals,and the Tutdl: 124.64 j <br /> State Building Code. This permit is for only the work described and does ', <br /> not gant permission for additional or related work which requires sepazate CI1ECk � <br /> permits. All provisions of laws and ordinances goveming this type of work GheCk hl[�: 11C�9s` 1c4.F,4� <br /> shall be compied with whether or not specified herein.This permit will ��Y'��� � <br /> expire and become null and void if construction authorized is not �L1UCI{I81" CUSt��� Bld�s � <br /> commenced within 1 SO days of the date of issuance,or if construction is Total App1 ied 9 �^ 1�4.�4 i <br /> suspended for a period of 1 SO days at any time after work has commenced �(� i <br /> The applicant is responsible for assuring all required inspections are L'�13P�9e Te�d�t'ed: Y_ , <br /> requested in conformance with the State Building Code.This permit may be � � <br /> revoked at any time for due cause. ; <br /> U8/�9/1fJ G8:59t��1 <br /> ; <br /> / / � � ' <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIltED FOR WORK OTI�R THAN DESCRIBED ABOVE. <br />