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CITY OF ORONO * 2 0 1 4 - 0 1 4 6 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/22/2014 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2496 SANDSTONE LA <br /> PIN : 33-118-23-11-0023 <br /> LEGAL DESC : STONEBAY <br /> : LOT 020 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REV[EW <br /> VALUATION : $ 350,000.00 <br /> NOTG: PLEASE FILL IN TI[E FOLLOWING: <br /> VALUATION OF PERM►T:$ 350,000.00 <br /> TYVE OF PFRMIT Tk IIS PAYMEN"I'IS FOR: NEW HOMI: <br /> PGRMIT#t THIS PRE-PAYMEN"1'IS"l'[F,U TO:2014-01462 <br /> APPLICANT ADVANCED PLAN REVIEW 1,661.89 <br /> WOODDALE BUILDERS INC. TOTAL 1,661.89 <br /> 61 l7 BLUE CR DR Payment(s) <br /> CHECK 82160 1,661.89 <br /> MINNETONKA, MN 55343- <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 <br /> OWNER City of Oruno <br /> 2750 Kelley Parkway <br /> Wooddale Builders Inc. Drano MN o5356 952-249-46U0 <br /> 61 17 BLUE CREEK DR Receipt N�: 3.012502 Dec Z2, 2014 <br /> SUITE 101 <br /> MINNETONKA, MN 55343- Wooddale Builcle�s <br /> Previous Balance: .OU <br /> AGREEMENT AND SWORN STATEMENT Permits <br /> 2014-01461 2496 Sandstone 1,661.89 <br /> The work for which this permit is issued shall be performed according to La <br /> the approved plans and specifications,applicablc City approvals,and the 101-34410 <br /> State Building Code. �fhis permit is for only the work described and does P1811 CheCk/Slte EXBfn Fees <br /> not grant permission for additional or related work which requires separate ��p�a 1: 1,661.tf9 <br /> permits. All provisions of laws and ordinances governing this type of work _______________ <br /> shall be compied with whether or not specitied herein.'I'his permit will ChBCk <br /> expire and become null and void if construction authorized is not Check No: 82160 1.661.89 <br /> commenced within I 80 days of the date of issuance,or if construction is P8y0Y: <br /> suspended for a period of 180 days at any time after work has commenced. WOOddele BU11deY5 <br /> The applicant is responsible for assuring all required inspections are TOtal Appl led: 1,661.89 <br /> requested in conformanee with the State Quilding Code.This permit may be <br /> revoked me for due cause. <br /> �Z Z.Z � �.-l . � v, Y \�.i✓\ � � / Z /l � <br /> npplicant itee Signatu Da Issued B Signature Date <br />