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CITY OF ORONO * z 0 1 6 - 0 0 7 2 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/29/2016 <br /> � ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3800 CASCO AVE <br /> PTN : 20-117-23-24-0019 <br /> LEGAL DESC : CASCO HEIGHTS <br /> : LOT 000 BLOCK 003 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SINGLE FAMILY <br /> ACTIVITY : 101-SINGLE FAMILY HOUSES, DETACHED <br /> VALUATION : $ 474,683.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,F[REPLACE,WATER CONNECTION,SEWER <br /> CONNECTION,ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 3,472.42 <br /> ATLAS HOMES INC PLAN REVIEW 614.25 <br /> 7082 EAST FISH LAKE RD STATE SURCHARGE(VALUATION) 23734 <br /> MAPLE GROVE, MN 55311- S.A.C. 2,485.00 <br /> (763)425-3333 TOTAL 6,809.01 <br /> Minnesota State License#: BUIL-BC20269686 Payment(s) <br /> CHECK 112451 6,809.01 <br /> OWNER <br /> Atlas Homes <br /> 14450 117TH AVE N <br /> MAPLE GROVE,MN 55369- <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 die <br /> State Building Code. This permit is for only the work described and does <br /> not grant pennission for additional or related work which requires separatc <br /> pennits. 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 State Building Code.This permit may be , ) <br /> revoked at any time for due cause. �i� � <br /> / v W` ' ' <br /> °�'2��'�� �.���C 1 � � :,,� �. , <br /> ���--� �.,> ��� � � � t. <br /> Applicant Permitee Signa e Date Issued B'y Signature) Date <br />