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- CITY OF ORONO * Z 0 1 S - 0 1 4 0 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 UO3/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2941 CASCO POINT RD <br /> pI1�1 : 20-1 I 7-23-31-0047 <br /> LEGAL DESC : SPRING PARK <br /> : LOT 092 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 215,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$215,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: 2ND FLOOR ADDITION-INTERIOR REMODEL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2015-01410 <br /> APPLICANT ADVANCED PLAN REVIEW 1,192.16 <br /> TOTAL 1,192.16 <br /> RD BULTMAN CONSTRUCTION LLC Payment(s) <br /> 10205 HEATHER LANE CHECK = 1,192.16 <br /> CORCORAN,MN 55340- <br /> (612)709-3307 <br /> Minnesota State License#: BUIL-BC639930 <br /> OWNER <br /> ABBOTT&MICHELE WILLIAMS-ABBOTT,JOHN <br /> 2941 CASCO POINT RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AIVD 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 onty the work described and does <br /> not grant permission for additional or related work which requires sepazate <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 afrer 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 Issued By Signature Date <br />