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� CITY OF ORONO <br /> 2750 KELLEY PARKWAY * � 0 1 4 - P1 P1 4 0 2 * <br /> DATE ISSUED: OS/06/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1535 FAIRVIEW COTTAGE LA <br /> PIN : 07-117-23-43-0007 <br /> LEGAL DESC : ORCHARD BEACH <br /> : LOT 003 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTiON TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: 'I'IED'I�O BliILDING PERMIT 20 1 4-003 04 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> M& M HOME CONTRACTORS <br /> Payment(s) <br /> PO BOX 90 CHECK 6727 2,500.00 <br /> COLOGNE, MN 55322- <br /> (612)797-3720 <br /> Minnesota State License#: BUIL-BC560376 <br /> OWNER <br /> HOUCK, DANIEL&JANE <br /> 1705 ELDORADO CIR <br /> SUPERIOR, CO 80027- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued sha11 be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> S[ate 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 goveming 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 after 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 />