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