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" �• CITY OF ORONO <br /> � 2750 KELLEY PARKWAY * � 0 1 4 - 0 0 1 6 3 * <br /> DATE ISSUED: 02/2U2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3625 EILEEN ST <br /> PIN : OS-117-23-21-0024 <br /> LEGAL DESC : RIF,DEL CO STUBBS BAY ADDN <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ESCROW FEE-OTHER <br /> PROPERTY TYPE ; RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-OTHER <br /> T�OTE: THI;$7500.00�SCROW 1S FOR n TEMPORARY CERTIF[CATG OF OCCUPnNCY-PD CHECK#1085 <br /> APPLICANT ESCROW FEE-OT�IER 7,500.00 <br /> TOTAL 7,500.00 <br /> RYAN, BOB Payment(s) <br /> 3625 EILEEN ST CHECK 1085 7,500.00 <br /> MAPLE PLA[N, MN 55359- <br /> OWNER <br /> RYAN, BOB <br /> 3625 EILEEN ST <br /> MAPLE PLAIN, MN 55359- <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 Quilding Code. 'l�his permit is for only[he work described and does <br /> not grant pem�ission 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 issuanec,or if construction is <br /> suspended for a period of 180 days a[any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in confonnance with the State Building Code.This permi[may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date [ssued By Signature Date <br />