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CITY OF ORONO * 2 a 1 5 - PJ 0 0 9 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU23/2015 <br /> �F 4 ' ORONO, MN 55356- <br /> � (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 765 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0090 <br /> LEGAL DESC : STONEBAY SEVENTH ADDITION <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 350,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 350,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PF..RMI'I'#THIS PRE-PAYMENT IS TIED TO:2015-00098 <br /> APPLICAIYT ADVANCED PLAN REVIEW 1,744.98 <br /> TOTAL 1,744.98 <br /> WOODDALE BUILDERS INC. Payment(s) <br /> 6117 BLUE CR DR CHECK 82294 1,744.98 <br /> MINNETONKA, MN 55343- <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 i:i iv��o' �7 onc <br /> %''.7`i ,;ell?y Parkway <br /> Oro�io MN 55356 952-249-46U� <br /> OWNER RecAipt No: 3.012668 Jan 23, 2015 <br /> Stonebrook Development LLC <br /> 6117 BLUE CR DR Wooddale Buildei�s <br /> MINNETONKA,MN 55343- Previous Balance: .OU <br /> Permits <br /> 2015-00099 765 1.744.98 <br /> Bridgewater Dr <br /> 101-34410 <br /> AGREEMENT AND SWORN STATEMEIYT Plan Check/Site Exam Fees <br /> - -- <br /> The work for which this permit is issued shall be performed according to TOtal: 1,744.9H <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 Cheek <br /> no[grant permission for additional or rela[ed work which requires separate Gheck No: 82294 1,744.9£i <br /> permits. All provisions of laws and ordinances goveming this type of work Payor: <br /> Wooddale Builders <br /> shall be compied with whether or no[specified herein.This permit will Total Appl ied� 1,744.98 <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 Chenye Tendered: .UO <br /> suspended for a period of 180 days at any time af'ter work has commenced. _=______------ <br /> I'he applicant is responsible for assuring all required inspections are Ol/23/2015 01:54PM <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. - i�� <br /> E.._. .i <br /> �� � - - G� �l'�C�f � _ <br /> � � z� � 5 �-�--� c l , � <br /> Applicant Permitee gnature Date [ssued�ture Date <br />