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CITY OF ORONO PERMIT NO.: 20�2-0004s <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE �ssuEn: OU18/2012 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4050 BAYS[DE RD <br /> PIN : 06-117-23-11-0004 <br /> LEGAL DESC : POPOV ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERM[T <br /> NOTE: THIS$600 ESCROW IS TIED TO BUILDING PERMIT#2012-00038 <br /> APPLICANT ESCROW FEE-BUILDING 600.00 <br /> STEELE, THAD& DAN[ELLE TOTAL 600.00 <br /> 4050 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> OWNER <br /> STEELE,THAD& DANIELLE <br /> 4050 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> ]he work for which this permit is issued shall be performed according to <br /> Ihe approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permrt 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 I80 days at any time after work has commenced. <br /> 'I'he appiican[is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any[ime for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />