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CITY OF ORONO * 2 0 1 7 - 0 0 5 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/25/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 600 PINEHURST CT <br /> PIN : 06-117-23-34-0007 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 19 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 400,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$400,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW SINGLE FAMILY HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017-00563 <br /> APPLICAI�IT ADVANCED PLAN REVIEW 1,949.95 <br /> GONYEA HOMES TOTAL 1,949.95 <br /> 1000 BOONE AVE N#400 Payment(s) <br /> CHECK 16748 1,949.95 <br /> GOLDEN VALLEY,MN 55427- <br /> (612)741-9069 <br /> Minnesota State License#:BUIL-2459 <br /> OWNER <br /> Source Land Development Inc. <br /> 18215 45TH AVE N <br /> STE D <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed aCcording to <br /> the approved plans and specifiEations,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permits. AII provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This pertnit 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 l80 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 /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />