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CITY OF ORONO * z 0 1 3 - 0 1 1 5 z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/29/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3759 CASCO AVE <br /> PIN : 20-117-23-31-0010 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 350,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOW[NG: <br /> VALUATION OF PERMIT: $35Q000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR:NEW HOUSE <br /> PERMI"I'#THIS PR�PAYMENT IS TIED TO:2013-01153 <br /> APPLICANT ADVANCED PLAN REVIEW 1,661.89 <br /> COLSON CUSTOM HOMES TOTAL 1,661.89 <br /> 216 WATER STREET <br /> EXCELSIOR, MN 55331- PAID WITH CC# 7934 <br /> �) <br /> Minnesota State License#: 20276966 <br /> OWNER <br /> MADDEN, BRUCE <br /> 3759 CASCO AVE <br /> WAYZATA, MN 55391- <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 a[any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date [ssued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />