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" CITY OF ORONO * 2013 - 00147 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/04/2013 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 4731 NORTH SHORE DR <br /> PIN : 07-117-23-32-0067 <br /> LEGAL DESC : BERGQUIST&WICKLUNDS PARK <br /> : LOT MB BLOCK 5 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE ADVANCED PLAN REVIEW <br /> VALUATION $ 425,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 425,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW STRUCTURE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00148 <br /> APPLICANT ADVANCED PLAN REVIEW 1,954.39 <br /> COLSON CUSTOM HOMES TOTAL 1,954.39 <br /> 216 WATER STREET <br /> EXCELSIOR,MN 55331- PAID WITH CC# 7934 <br /> 0 <br /> Minnesota State License#:20276966 <br /> OWNER <br /> BWB Holdings LLC <br /> 3800 AMERICAN BLVD W#100 <br /> BLOOMINGTON,MN 55431- <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 Building Code. This permit is for 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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � / <br /> Applicant Permitee Signature Date Issu6#y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />