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� ;, CITY OF ORONO * Z 0 1 6 — 0 0 4 S 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/29/2016 <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 : RIEDEL CO STUBBS BAY ADDN <br /> : LOT MB BLOCK MB <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: TH[S$2500 ESCROW[S TIED TO BUILDING PERMIT 2016-00453 <br /> APPL[CANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> RYAN, BOB Payment(s) <br /> 3625 EILEEN ST CHECK 1348 2,500.00 <br /> MAPLE PLAIN, MN 55359- <br /> OWNER <br /> RYAN, BOB <br /> 3625 EILEEN ST <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEME1vT <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. 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 180 days at any time afrer 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 at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />