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CITY OF ORONO * Z QJ 1 4 - 0 0 6 8 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/02/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1135 PINE VIEW DR <br /> PIN : 28-118-23-42-0008 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 2 BLOCK ] <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 800,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT: $ $800,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERMIT <br /> PERMIT#THIS PRE-PAYMENT IS T[ED TO:2014-00689 <br /> APPLICANT ADVANCED PLAN REVIEW 3,221.89 <br /> MARK D. WILLIAMS CUSTOM HOMES, INC. TOTAL 3,221.89 <br /> Payment(s) <br /> P.O. BOX 268 CHECK 5001 3,221.89 <br /> EXCELSIOR,MN 55331- <br /> (612)251-9750 <br /> Minnesota State License#: BUIL-BC494403 <br /> OWNER <br /> Stephenson Holdings <br /> 1850 FOX RIDGE RD <br /> LONG LAKE, MN 55356- <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 sepazate <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 189-days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer wor- as commenced. <br /> The applicant is responsible for as uring all re spections are <br /> requested in conformance � e Stat g Code.This permit may be <br /> revoked at any ti ue use. <br /> / / <br /> Applicant Permitee Signature Date Issued By i ature Date <br />