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. <br /> CITY OF ORONO PERMIT NO.: 20��-0�109 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE Iss[1Ev: 09/26/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> REVR[NTED ON 9/26/201 I <br /> ADDRESS : 725 FERNDALE RD N <br /> PIN : 36-118-23-12-0002 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 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: THIS$2500.00 ESCROW PAYMEN"I'WAS PAID BY MEADOWCREEK BLDG CORP.-CHGCK#6151 THIS ESCROW PAYMENT <br /> IF TIED 1'O BUILDING PERMIT#20 1 1-0 1 03 3 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 perniit is issued shall be perfonned according ro <br /> the approved plans anJ specitications,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 /> shaii 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 l80 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 E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued I3y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />