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� ..� CITY OF ORONO * 2 0 1 5 — 0 0 0 9 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU23/2015 <br /> • ' ORONO, MN 55356- <br /> ` (952) 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 767 BRIDGEWATER DR <br /> PIN : 33-118-23-12-0089 <br /> LEGAL DESC : STONEBAY SEVENTH ADDITION <br /> : LOT 2 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 /> PERMIT#TH[S PRF,-PAYMENT IS TIED TO:2015-00093 <br /> APPLICA1vT ADVANCED PLAN REVIEW 1,744.98 <br /> TOTAL 1,744.98 <br /> WOODDALE BUILDERS INC. Payment(s) <br /> 6117 BLUE CR DR CHECK 82292 1,744.98 <br /> MINNETONKA, MN 55343- <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 <br /> C i ty of ri;���io <br /> 2750 Kelley Parkway g52-Z49-4600 <br /> OWNER Oror� MN 55356 <br /> Stonebrook Development LLC Receipt No: 3.012686 Jan 2;. ?_015 <br /> 6117 BLUE CR DR <br /> MINNETONKA, MN 55343- Wooddale Builders <br /> Previous Balance: ��� <br /> Permits �,744.9� <br /> 2015-00097 767 <br /> Brid�ewater Dr <br /> AGREEMENT AND SWORN STATEMENT 101-�4410 <br /> Plan Gheck/Site Exam Fees <br /> The work f'or which this permit is issued shall be performed according to ------- - -- <br /> the approved plans and specifications,applicable City approvals,and the Total: 1,744.`35 <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 Cheek � <br /> permits. All provisions of laws and ordinances goveming this type of work Cheek Na: $2292 �,744..J8 <br /> shall be compied with whether or not specified herein.This permit will Payor: <br /> expire and become null and void if construction authorized is not WOOdd81e BU1 LdOY S �,744.98 <br /> commenced within 180 days of the date of issuance,or if construction is Total Appl ied: <br /> _.__------ <br /> suspended for a period of 180 days at any time after work has commenced. nn <br /> Chanye Tendei�ed: <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. t�p�) <br /> 1 ! <br /> � 1 Z3 l� r-- L� C`�ti �(:�� ( ( � 2j / � <br /> Applicant Pe rtee Signature Date Issued By Signature Date <br />