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n <br /> CITY OF ORONO PERMIT NO.: 2010-00175 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 03/26/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 4655 TONKAVIEW LA <br /> PIN 07-117-23-32-0064 <br /> LEGAL DESC N/A <br /> LOT 000 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: NEW SINGLE FAMILY HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2010-00176 <br /> APPLICANT ADVANCED PLAN REVIEW 1,135.39 <br /> COLFAX COMPANIES,INC. TOTAL 1,135.39 <br /> 206 MINNETONKA AVE S <br /> WAYZATA,MN 55391- <br /> (952)746-4380 <br /> Minnesota State License#: 20636394 <br /> OWNER <br /> MEYER,DENNIS <br /> 4680 NORTH SHORE DRIVE <br /> MOUND,MN 55364- <br /> AGREEMENT AND 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 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 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 /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />