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CITY OF ORONO * Z 0 1 6 — 0 1 fd 9 5 * <br /> ` ' 2750 KELLEY PARKWAY DATE ISSUED: 09/08/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2480 CASCO POINT RD <br /> PIN : 20-117-23-21-0037 <br /> LEGAL DESC : TILLSONS VILLA CARMAN <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$1800 ESCROW IS TIED TO BUILDING PERMIT 2016-00348 AND 2016-01020 <br /> APPLICANT ESCROW FEE-BUILDING 1,800.00 <br /> TOTAL 1,800.00 <br /> JN BUILT,LLC Payment(s) <br /> 801 TWELVE OAKS CENTER CHECK 1455 1,800.00 <br /> WAYZATA, MN 55391- <br /> (612)280-8205 <br /> Minnesota State License#: BUIL-BC638412 <br /> OWNER <br /> RUDOLPH, STEPHEN&SUSAN <br /> 2480 CASCO PT RD <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 /> 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 [ssued By Signature Date <br />