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f _ CITY OF ORONO * 2 0 1 5 - 0 0 8 0 1 * <br /> 2750 KELLEY PARKWAY DATE [SSUEn: 06/19/2015 <br /> . ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2450 COBBLESTONE CT <br /> PIN : 33-118-23-11-0082 <br /> LEGAL DESC : STONEBAY S[XTH ADD[T[ON <br /> : LOT 004 BLOCK 001 <br /> PERM[T TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REV[EW <br /> VALUATION : $ 375,000.00 <br /> NOTF,: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 375,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW TOWNHOME <br /> PF,RMIT#THIS PRE-PAYMENT IS T1ED'I'O:2015-00800 <br /> APPL[CANT ADVANCED PLAN REVIEW 1,847.36 <br /> TOTAL 1,847.36 <br /> Wooddale Builders Payment(s) <br /> 6117 BLUE CIRCLE DR CHECK 83135 1,847.36 <br /> SU[TE 101 <br /> M[NNETONKA, MN 55343- <br /> ��u ., ,, � <br /> Orono MN �:i�:��� <br /> keceipt No: 3.013657 J�.�n 19, Z015 <br /> OWIVER <br /> Wnuddala 6uilders <br /> Wooddale Builders Previous Balanc.e: •��� <br /> 6l 17 BLUE C[RCLE DR Permits <br /> SUITE 101 2015-OU799 2460 1,847.3� <br /> Cobbleston Ct <br /> MINNETONKA,MN 55343- 101-34410 <br /> Plar Ch���k/5ite Fxam Fees <br /> Pernii ts <br /> AGREEMENT AND SWORN STATEMENT `r_o15-00801 2450 1.t;47.:�n <br /> Cobblestone Ct <br /> The work for which this permit is issued shall be performed according to 1U1-3441U <br /> the approved plans and specifications,applicable City approvals,and the Plan Cheek/Si te Exam F[:es _ <br /> State Building Code. This permit is for only the work described and does T atal: 3,694.72 <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 CheCk <br /> shall be compied with whether or not specified herein.This permit will C�'iBCk N0: 83135 3,B94. i 2 <br /> expire and become null and void if construction authorized is not Pa ynr• <br /> commenced within 180 days of[he date of issuance,or if construction is � <br /> suspended for a period of I 80 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 /> ` �---� t�1��1�� :� ����� �� , ( ,1� <br /> Applicant Permitee Signature Date [ssued By Signatu� Date <br />