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CITY OF ORONO * z 0 1 6 - 0 0 8 z z * <br /> - 2750 KELLEY PARKWAY DATE ISSUED: 07/18/2016 <br /> . ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4325 LAKEVIEW CT <br /> PIN : 06-117-23-43-0016 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 2 BLOCK 3 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 800,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 800,040.00 <br /> TYPE OF PERMIT TH[S PAYMENT IS FOR: NEW HOME <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00821 <br /> APPLICANT ADVANCED PLAN REVIEW 3,383.20 <br /> NORTON HOMES TOTAL 3,383.20 <br /> Payment(s) <br /> 18215 45TH AVE N,STE D CREDIT CARD 6516 3,383.20 <br /> PLYMOUTH,MN 55446- <br /> (612)386-7661 <br /> Minnesota State License#: BUIL-BC639221 <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 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 Iaws 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 construction is <br /> suspended for a period of 1 SO days at any time afrer 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 f due cause. <br /> � 1 _ <br /> � �{' 7 <br /> .: � ' - <br /> �ti ;�. �'C,(' j � �, L.C. '�<_ � � / �� / ��> <br /> ppl�cant Permitee Signature Date Issued By Signature Date <br />