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" � �� CITY OF ORONO * Z 0 1 4 - 0 0 4 8 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 05/2U2014 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <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: TIED TO BUILDING PERMIT 2014-0048a <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> RICE,EDWARD&TERESA Payment(s) <br /> 2550 SIXTH AVE N CHECK 2259 2,500.00 <br /> LONG LAKE,MN 55356- <br /> OWNER <br /> R10E,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 separate <br /> permits. 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 �m for due caus <br /> �� :� f� � � � , , <br /> Applicant Permitee Signature Date Issued By Sig re /r�� Date <br /> �/ �� <br />