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� CITY OF ORONO * z 0 1 2 - 0 0 8 7 9 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 09/OS/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 420 DEBORAH DR <br /> PIN : 31-118-23-23-0009 <br /> LEGAL DESC : MCCULLEY FARM <br /> : LOT 006 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERM[T <br /> NOTG: THIS$2500 ESCROW IS T1F_D"1'O BUILDING PERMIT 2012-00878 FOR IN-GROUND SWIMMING POOL. <br /> APPLICANT ESCROW FEE- BUILD[NG 2,500.00 <br /> BRADY, ROBERT& RACHAELLE TOTAL 2,500.00 <br /> 420 DEBORAH DR <br /> MAPLE PLAIN, MN 55359- <br /> OWNER <br /> BRADY, ROBERT& RACHAELLE <br /> 420 DEBORAH DR <br /> MAPLE PLAIN,MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'hc work for which this permit is issued shall be performed according to <br /> thc approved plans and specitications,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 /> pennits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or no[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[he State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signaturc Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />