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CITY OF ORONO * 2 0 1 5 - 0 1 3 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/16/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 425 LAKEVIEW PKWY <br /> PIN : T000088 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 615,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 615,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#TI-IIS PR�PAYMENT IS TIED TO:2015-01345 <br /> APPLICANT ADVANCED PLAN REVIEW 2,751.67 <br /> TOTAL 2,751.67 <br /> NORTON HOMES Payment(s) <br /> 18215 45TH AVE N,STE D CREDIT CARD 2047 2,751.67 <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 SWORI�i 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of Iaws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.l'his 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 conswction 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />