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CITY OF ORONO * 2 0 1 4 - 0�� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2696 CAROLINE AVE <br /> PIN : 20-117-23-24-0034 <br /> LEGAL DESC : WESSELS SUBD OF SPR]NG PARK L,O <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAI� <br /> CONSTRUCTION TYPE : ESCROW FEE-TIEU 1'O BUILDING PERMIT <br /> NO�CH:: "I�IED"['O [3UILDING YERMIT 2014-00587 <br /> APPLICANT ESCROW FEE- BU[LDING 2,500.00 <br /> TOTAL 2,500.00 <br /> MILLER,CHARLES &JILI., Payment(s) <br /> 2696 CAROLINE AVE CHECK 5039 2,500.00 <br /> WAYZATA, MN 55391- <br /> OWNER <br /> MILLER, CHARLES&JILL <br /> 2696 CAROLINE AVE <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 specitications,applicable City approvals,and thc <br /> Statc l3uilding Codc. "This permit is for only thc work dcscribcd and does <br /> not�rant permission f�or additional or related work which requires separate <br /> permits. All provisions of laws and ordinanccs governing this typc of work <br /> shall be compied with whether or not specitied herein.'This permit will <br /> expire and become null and void if construction au�horized is not <br /> commenced within 180 days of the date of issuanee,or if construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assuring all requircd inspections are <br /> requested in confonnance�vith thc State Building Code.This permil may be <br /> revoked at anv time f�or due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By�Signature Date <br />