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, � � CITY OF ORONO * z p� 1 5 - 0 0 z 7� <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 03/06/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 790 BROWN RD N <br /> PIN : 34-118-23-11-0003 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1275 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: ESCROW FOR NEW HOME PERMIT#2015-00077-PD BY GONYEA HOMES CK#15288-$2,500.00 <br /> APPLICANT ESCROW FEE-APPLICANT 2,500.00 <br /> TOTAL 2,500.00 <br /> GONYEA HOMES Payment(s) <br /> 6102 OLSON MEMORIAL HIGHWAY CHECK 15288 2,500.00 <br /> GOLDEN VALLEY, MN 55427- <br /> (612)741-9069 <br /> Minnesota State License#: BUIL-2459 <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY, MN 55427- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work ror which this permit is issued shall be performed according to <br /> the approved plans and specifications,app►icable 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 sepazate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> sha(i be compied with whether or not specified herein.This permit wi11 <br /> expire and become nu11 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 co d. <br /> The applicant is responsible for assuring all required inspec' s aze <br /> requested in conformance with the State Building Code is permit may be /�� „ <br /> revoked at any time for due cause. ��� <br /> Y � <br /> � / G <br /> Applicant Permitee S' ature Date Issued By Signature Date <br />