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CITY OF ORONO �0 1 6 - 0 0 z 1 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/03/2016 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3188 NORTH SHORE DR <br /> PIN : 09-117-23-32-0011 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 520,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$500,000.00 FOR NEW HOME&20,000.00 FOR GARAGE <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME PERM[T&GARAGE PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00213 (NEW HOME)&2016-00215(GARAGE) <br /> APPLICANT ADVANCED PLAN REVIEW 2,427.70 <br /> TOTAL 2,427.70 <br /> KEVIN TRAMM CONSTRUCTION Payment(s) <br /> 4771 126TH ST CT N CHECK 4161 2,427.70 <br /> WHITE BEAR LAKE, MN 55110- <br /> (612)226-8501 <br /> Minnesota State License#: BUIL-BC004343 <br /> OW1vER <br /> RUCINSKI,MICHEAL&HOLLY <br /> 3188 NORTH SHORE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AIYD 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 speci6ed 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 S Building Code.This permit may be � <br /> revoked at any time f�due ca e. `/> <br /> � / ^ _ <br /> ;-�' � - , � <br /> �' ;,' ` , , �c� � � �-� S� � � � i �I� <br /> A lica er i e Si e Date Issued By Signature Date <br />