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. . <br /> CITY OF ORONO * Z 0 1 6 - 0 0 7 9 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/1U2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADQRF.SS : 100 BAYSIDE TR <br /> PIN : 06-117-23-22-0026 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 510,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 510,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS T[ED TO:2016-000796 <br /> APPLICANT ADVANCED PLAN REVIEW 2,393.57 <br /> TOTAL 2,393.57 <br /> WEST BAY HOMES CORP. Payment(s) <br /> 10425 BLUFF RD CHECK 1060 2,393.57 <br /> EDEN PRAIRIE,MN 55347- <br /> (612)770-6433 <br /> OWNER <br /> NORD, RANDAL <br /> 4420 HARBOR LA <br /> PLYMOUTH,MN 55441- <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 additional or related work which requires separate <br /> permits. All provisions of►aws and ordinances goveming 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 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.This permit may be ; <br /> revoked at any time for due cause. � �,� <br /> �� � <br /> .,�-."' ! <br /> �� 1-�,- �� ,�=-�� �;� ���� �� % � / � � /(� <br /> Applicant Permitee Signature Date Issued By Signature Date <br />