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CITY OF ORONO * z 0 1 6 - 0 P1 3 0 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/31/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 656 SANDSTONE CIR <br /> PIN : 33-118-23-11-0054 <br /> LEGAL DESC : STONEBAY <br /> : LOT 005 BLOCK 002 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 280,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 280,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS T[ED TO:2016-00305 <br /> APPLICANT ADVANCED PLAN REVIEW 1,458.55 <br /> TOTAL 1,458.55 <br /> STONEBAY BUILDERS LLC Payment(s) <br /> 14870 BROCKTON LANE CHECK ll28 1,458.55 <br /> DAYTON, MN 55327- <br /> (612)363-4304 <br /> Minnesota State License#:BUIL-BC681308 <br /> OW I�TER <br /> Essay Holdings <br /> 2110 LYNDALE AVE S <br /> MINNEAPOLIS, MN 55405-2 <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 laws 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 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 Cod�his errrtit m be <br /> revoked at any time for due c se. �/ � <br /> � � <br /> c::.�- � . / // / / <br /> Applicant Pe rte �Sign ture Date Issued By Signature Date <br />