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• CITY OF ORONO * 2 0 1 7 - 0 0 3 6 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/17/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 797 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0021 <br /> LEGAL DESC : STONEBAY FOURTH ADDITION <br /> : LOT O10 BLOCK 001 <br /> PERMIT TYPE : NEW STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : TOWNHOME <br /> ACTIVITY : 102-SINGLE FAMILY HOUSES,ATTACHED <br /> VALUATION : $ 350,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:PLUMBING,MECHANICAL,FIREPLACE,WATER CONNECTION,SEWER CONNECTION, <br /> ELECTRICAL(STATE) <br /> NOTE:PLEASE SEE AND INITIAL NEW BUILDER ACKNOWLEDGEMENT FORM <br /> APPLICANT PERMIT FEE SCHEDULE 2,684.92 <br /> WOODDALE BUILDERS INC. STATE SURCHARGE(VALUATION) 175.00 <br /> 6117 BLUE CR DR S.A.C. 2,485.00 <br /> MINNETONKA,MN 55343- TOTAL 5,344.92 <br /> (952)345-0543 Payment(s) <br /> Minnesota State License#: BUIL-BC002926 CHECK 87106 5,344.92 <br /> OWNER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DRIVE <br /> MINNETONKA,MN 55343- <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 Ciry 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 laws and ordinances governing this type of work <br /> shall be compied with whether or not specified hereia 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 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 pertnit may be <br /> revoked at any time for due cause. <br /> '' .f""�/?- 1 ,�-� �.�.,�Sv � 1 � 1 <br /> � � <br /> A � rmite ignature Date Issued By Signature Date <br />