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� � �' CITY OF ORONO <br /> * 2PJ 16 - 00294 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/29/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 945 FOREST ARMS LA <br /> PIN : 07-117-23-12-0019 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 000 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-APPLICANT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-APPLICANT <br /> NOTE: THIS$7500 ESCROW IS TIED TO BUILDING PERMIT 2015-00484 FOR A TEMPORARY CERTIFICATE OF OCCUPANCY <br /> APPLICANT ESCROW FEE-APPLICANT 7,500.00 <br /> TOTAL 7,500.00 <br /> EATON,BOB&JENNIFER Payment(s) <br /> 2721 COMSTOCK LA N CHECK 13403 7,500.00 <br /> PLYMOUTH,MN 55447- <br /> OWNER <br /> EATON,BOB&JENNIFER <br /> 2721 COMSTOCK LA N <br /> PLYMOUTH,MN 55447- <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 separa[e <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 Issued By Signature Date <br />