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• � CITY OF ORONO *� 6 — 0 fd 3 0 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/3U2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 654 SANDSTONE CIR <br /> PIN : 33-118-23-11-0053 <br /> LEGAL DESC : STONEBAY <br /> : LOT 004 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500 ESCROW IS TIED TO BUILDING PERMITS 2016-00302,304,AND 306 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> STONEBAY BUILDERS LLC Payment(s) <br /> 14870 BROCKTON LANE CHECK 1128 2,500.00 <br /> DAYTON,MN 55327- <br /> (612)363-4304 <br /> Minnesota State License#: BUIL-BC681308 <br /> OWNER <br /> Essay Holdings <br /> 2110 LYNDALE AVE S <br /> MINNEAPOLIS,MN 55405- <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 l80 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 at any time for due cau� <br /> �--- � l <br /> �� v� - � �-� �/ � i i <br /> Applicant Permitee Si ature Da Issued By Signature Date <br />