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CITY OF ORONO * 2013 - 00501 *
2750 KELLEY PARKWAY DATE ISSUED: 06/13/2013
ORONO, MN 55356-
(952) 249-4600 FAX: (952) 249-4616
ADDRESS : 4731 NORTH SHORE DR
PIN 07-117-23-32-0067
LEGAL DESC BERGQUIST&WICKLUNDS PARK
LOT MB BLOCK 5
PERMIT TYPE ; ADVANCED PLAN REVIEW
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADVANCED PLAN REVIEW
VALUATION : $ 5,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$5,000.00
PERMIT THIS PAYMENT IS FOR: REPLACE WALLS
PERMIT#THIS PRE-PAYMENT IS TIED TO:2013-00502
APPLICANT ADVANCED PLAN REVIEW 76.70
Colson Custom Homes
216 WATER STREET TOTAL 76.70
EXCELSIOR,MN 55331-
OWNER
Colson Custom Homes
216 WATER STREET
EXCELSIOR,MN 55331-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Iss By Stgnature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.