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' � CITY OF ORONO PERMIT NO.: 2011-01109 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE 1SSUED: 09/26/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REPRINTED ON 9/26/2011 <br /> ADDRESS : 725 FERNDALE RD N <br /> pIN : 36-1 l 8-23-12-0002 <br /> LEGAL DESC : LJNPLATTED 36 l l8 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BU[LDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$2500.00�SCROW PAYMEN"I'WAS PAID BY MEADOWCREEK BLDG CORP.-CHECK#6151 THIS ESCROW PAYMENT <br /> IF TIED TO BUILDING PERMIT#2011-01033 AND#2011-01054 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> SOWADA, MICHEAL&MARGARET TOTAL 2,500.00 <br /> 725 FERNDALE RD N <br /> WAYZATA,MN 55391 <br /> OWNER <br /> SOWADA,MICHEAL&MARGARET <br /> 725 FERNDALE RD N <br /> WAYZATA, MN 55391 <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 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 /> shail be compied wi[h whether or not specified herein.This pemiit 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 aRer 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 /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />