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CITY OF ORONO * z 0 1 5 - 0 0 5 4 4 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OS/06/2015 <br /> � ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 200 BAYSIDE TR <br /> pI]� : 06-117-23-22-0027 <br /> LEGAL DESC : BAYVIEW FARMS 2ND ADDN <br /> : LOT 2 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIv TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR NEW HOME PERMIT#2015-00542-PAID BY:GONYEA HOMES CK#15616-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> Gonyea Homes Payment(s) <br /> 6102 OLSON MEMORIAL HWY CHECK 15616 2,500.00 <br /> GOLDEN VALLEY, MN 55427- <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY,MN 55427- <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. AI►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 <br /> revoked a[any[ime for due cause. �:� <br /> ' � , � �4/ <br /> •� ` <br /> �%-�' � � � ,�1� l��� �-�j�-� ��'Y`-����'� > C�-� , �� <br /> Applica Pettnitee Signat� Date Issued By Signature Date <br />