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CITY OF ORONO * 2 0 1 2 - 0 0 8 1 9
2750 KELLEY PARKWAY DATE ISSUED: 08/22/2012
ORONO,MN 55356-
(952)249-4600 FAX: (952) 249-4616
ADDRESS : 990 NORTH SHORE DR W
PIN : 07-117-23-22-0018
LEGAL DESC ENGLUND THIRD ADDITION
LOT 001 BLOCK 001
PERMIT TYPE ADVANCED PLAN REVIEW
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADVANCED PLAN REVIEW
VALUATION $ 700,000.00
NOTE: PLEASE FILL IN THE FOLLOWING:
VALUATION OF PERMIT:$ 700,000
TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME
PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00820
APPLICANT ADVANCED PLAN REVIEW 2,896.89
MILLS CONSTRUCTION LLC TOTAL 2,896.89
4215 23RD AVE S
MINNEAPOLIS,MN 55407-
(612)721-4226
OWNER
WILSEY,JASON
8151 33RD AVE S
#206
BLOOMINGTON,MN 55425-
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 additi al or related work which requires separate
permits. All provisions of 1 s d ordinances governing this of work
shall be compied with wh er t specified herein. ' permit will
expire and become null d v d construction orized is not
commenced within 18 day o e d f' ce,or if construction is
suspended for a pen of 0 y time after work has commenced.
The applicant is res nsi Suring all required inspections are
requested in confo the State Building Code.This permit may be
revoked at any ' u ause.
Applicant Permit e i ature Date Issued By S' ature f Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER TAAN DESCRIBED ABOVE.