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CITY OF ORONO * Z m 1 5 - 0 0 5 6 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/1U2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3375 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0018 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 1,800,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ 1,800,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: NEW HOME <br /> PERMIT#TE{IS PRE-PAYMENT IS TIED TO:2015-00570 <br /> APPLICANT ADVANCED PLAN REVIEW 6,249.48 <br /> TOTAL 6,249.48 <br /> WOODDALE BUILDERS INC. Payment(s) <br /> 6117 BLUE CR DR CHECK 82838 6,249.48 <br /> MINNETONKA, MN 55343- <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 <br /> �ity ut ��run�� <br /> OWNER �750 Ke: ; Parkway <br /> Orono MN 55356 952-�49-46uu <br /> WOODDALE BUILDERS, F Receipt No: 3.013369 May 11. 2015 <br /> 6117 BLUE CIRCLE DR, STE 101 <br /> MINNETONKA, MN 55343- <br /> Wooddale BuildPrs <br /> Previous Balance: .UU <br /> Permits <br /> AGREEMENT AND SWORN STATEMENT 'U15-00569 3375 uraham 6,249.48 <br /> Hill Rd <br /> The work for which this permit is issued shall be performed according to 101-34410 <br /> the approved plans and specifications,applicable City approvals,and the P 1 an Cf1eCk/S 1 te EXam rees _ <br /> State Building Code. This permit is for only the work described and does Total: 6,2d9.42 <br /> not gran[permission for additional or related work which requires separate =_-__--_____--_ <br /> permits. All provisions of Iaws and ordinances goveming this type of work CheCk <br /> shall be compied with whether or not specified herein.7'his permit will CfieCk N0: 82838 6,24'I.4�S <br /> expire and become null and void if construction authorized is not Payor: <br /> commenced within l80 days of the date of issuance,or if construction is Waoddal e Bu i 1 der s <br /> T,,ral e�,�,l;n�• � ;an as� <br /> suspended for a period of 180 days at any time after work has commenced. � <br /> The applican[is responsible for assuring all required inspec[ions are <br /> requested in conformance with the Sta[e Building Code.This permit may be <br /> revoked at any time for due cause. <br /> (�--- � � // � �-� <br /> ApplicantPermitee Signature Date Issu By Signature Date <br />