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- 1 CITY OF ORONO PERMIT NO.: 2011-01449 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 11/17/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 11/17/2011 <br /> ADDRESS : 2550 SIXTH AVE N <br /> PIN : 28-118-23-41-0005 <br /> LEGAL DESC : WILLOW RUN <br /> : LOT 004 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO BUILDING PERMIT#2011-01281-PAID 1 U17/11 CK#1975 BY EDWARD RICE <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> RICE,EDWARD&TERESA TOTAL 700.00 <br /> 2550 SIXTH AVE N <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> RICE,EDWARD&TERESA <br /> 2550 SIXTH AVE N <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 /> pertniu. 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 at any time for due cause. <br /> / / , �n ��� 7/� <br /> � �� ' <br /> Applicant Permitee Signature Date Issued By Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />