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' CITY OF ORONO *�1 4 - 0 P1 8 8 0 * <br /> 2750 KELLEY PARKWAY pAT��SSUE�: 08/12/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3630 EILEEN S7' <br /> PiN : OS-117-23-21-0013 <br /> LEGAL DESC : RIEDEL CO STUBBS BAY ADDN <br /> : LOT 003 BLOCK 001 <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 TO BU[LDI?�IG 201�3-00697 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> MCCUTCHEON, MARK&JAYME Payment(s) <br /> 3630 EILEEN ST CHECK 3034 2,500.00 <br /> MAPLE PLAIN, MN 55359- <br /> OWNER <br /> MCCUTCHEON, MARK&JAYME <br /> 3630 EILEEN ST <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> The N�ork 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 /> ❑ot 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[he State Building Code.This permit may be <br /> revoked at any ti�r due cause <br /> _���� - `-''G � — . <br /> �� y,�" �- <br /> f� � �212d,� � � <br /> Applicant Permitee Signatui-e Date Issued B ignature Date <br />