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CITY OF ORONO PERMIT NO.: 20o9-oos3� <br /> � �w`' 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 1U17/2009 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2105 SUGARWOOD DR <br /> PIN : 34-118-23-21-0017 <br /> LEGAL DESC : SUGAR WOODS <br /> : LOT 003 BLOCK 003 � <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 ESCROW PERMIT IS TIED TO BUILDING PERMIT#2009-00730 <br /> CHECK IS FROM STEINER KOPPELMAN AND DAVE STEINGAS IS AWARE IT WILL BE REFUNDED TO THE <br /> SMITHS. <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> SMITH,THOMAS&VIRGINIA TOTAL 2,500.00 <br /> 2105 SUGARWOOD DR <br /> LONG LAKE,MN 55356 <br /> Minnesota State License#: 3721 <br /> OWNER <br /> SMITH,THOMAS&VIRGINIA <br /> 2105 SUGARWOOD DR <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />