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CITY OF ORONO * Z 0 1 5 - 0 0 1 5 9 * <br /> •� 2750 KELLEY PARKWAY DATE ISSUED: 02/06/2015 <br /> + ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2498 SANDSTONE LA <br /> PIN : 33-118-23-11-0022 <br /> LEGAL DESC : STONEBAY <br /> : LOT 019 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO NEW HOME BUILDING PERMIT#2014-01464-PD BY:WOODDALE BUILDERS CK#82348 FOR 2 PERMITS- <br /> EACH$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> WOODDALE BUILDERS INC. Payment(s) <br /> 6117 BLUE CR DR CHECK 82348 2,500.00 <br /> MINNETONKA,MN 55343- <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 <br /> OWNER <br /> Wooddale Builders Inc <br /> 6117 BLUE CIRCLE DR <br /> SUITE 101 <br /> MINNETONKA,MN 55343- <br /> AGREEMENT AND SWORN STATEMEIVT <br /> The work for which this pertnit 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 dces <br /> not grant permission for additional or related work which requires sepazate <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 consVuction is <br /> suspended for a period of 180 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.1'his permit may be <br /> revoked at any time for due cause. �� <br /> 'n -'% �. <br /> � G`�1;� _ ��✓?�.�;- , � � � J�_�� <br /> Applicant Permitee Signature Date Issued By Signa e Date <br />