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CITY OFORONO * 2015 - 00878 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/15/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 2494616 <br /> ADDRESS : 220 WAKEFIELD RD <br /> PIN : 36-118-23-31-0010 <br /> LEGAL DESC : WAKEFIELD FARMS 2ND ADDN <br /> : LOT 001 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 FOR DETACHED PORCH/GAZEBO-PAID BY:BETH&RICHARD DAVIS CK#1272-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> DAVIS,RICHARD&BETH Payment(s) TOTAL 2,500.00 <br /> 220 WAKEFIELD RD CHECK 1272 2,500.00 <br /> WAYZATA,MN 55391- <br /> OWNER <br /> DAVIS,RICHARD&BETH <br /> 220 WAKEFIELD RD <br /> WAYZATA,MN 55391- <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 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 p1 <br /> revoke at any time for due cause. ' n (� I <br /> 6 <br /> Applicant Permitee Signature Date Issued By Signature Date <br />