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. , CITY OF ORONO * Z 0 1 3 - 0 0 4 2 5 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OS/30/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3625 JACOBS MILL RD <br /> PIN : 32-118-23-24-0013 <br /> LEGAL DESC : JACOBS MILL <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 950,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$950,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00426 <br /> APPLICANT ADVANCED PLAN REVIEW 3,709.39 <br /> MINNETONKA CUSTOM HOMES INC. TOTAL 3,709.39 <br /> 3575 TUXEDO BLVD <br /> MOLJND,MN 55364 <br /> (612)386-4494 <br /> Minnesota State License#: BC20386620 <br /> OWNER <br /> SCHMID,KURT&CAROL <br /> 2950 ISLAND VIEW DRIVE <br /> MOiJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 sepazate <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 i onsible r assuring all required inspections are <br /> requested' formance wi the State Building Code.This permit may be <br /> revoke time for du a e. <br /> -�3� � �3o � i,3 <br /> pp ignature Date s By ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />