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CITY OF ORONO * z 0 1 4 - 0 1 4 B 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/30/2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 677 SANDSTONE CIR <br /> PIN : 33-118-23-11-0041 <br /> LEGAL DESC : STONEBAY <br /> : LOT 038 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 219,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 219,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW TOWNHOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:201401484 <br /> APPLICANT ADVANCED PLAN REVIEW 1,150.99 <br /> TOTAL 1,150.99 <br /> STONEBAY BUILDERS LLC Payment(s) <br /> 14870 BROCKTON LANE CHECK 1104 1,150.99 <br /> DAYTON, MN 55327- <br /> (612)363-4304 <br /> Minnesota State License#: BUIL-BC681308 <br /> OWNER <br /> Stonebay Builders LLC <br /> 14870 BROCKTON LANE <br /> DAYTON,MN 55327- <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 goveming 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 Code.This permit may be <br /> revoked a[any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />