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CITY OF ORONO * 2017 - 00895 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/01/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)2494616 <br /> ADDRESS : 3265 SHADYWOOD CIR <br /> PIN : 20-117-23-11-0048 <br /> LEGAL DESC : SHADYWOOD VILLAS <br /> : LOT 7 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 378,400.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$378,400.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00896 <br /> APPLICANT ADVANCED PLAN REVIEW 1,863.95 <br /> CHARLES CUDD LLC Payment(s) TOTAL 1,863.95 <br /> 15050 23RD AVENUE N CHECK 042018 1,863.95 <br /> PLYMOUTH,MN 55447- <br /> Minnesota State License#:BUIL-BC635245 <br /> OWNER <br /> Charles Cudd LLC <br /> 15050 23RD AVE N <br /> PLYMOUTH,MN 55441- <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 /> / / I <br /> Applicant Permitee Signature Date Issued By Signature Date <br />