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J <br /> CITY OF ORONO * Z 0 1 2 — 0 1 z 5 Z * <br /> 2750 KELLEY PARKWAY nATE ISSUEn: 12/18/2012 <br /> ORONO, MN 553�6- <br /> . (9�2) 249-4600 FAX: (9�2) 249-4616 <br /> ADDRESS : 1860 FOX ST <br /> PIN ` : 03-117-23-42-0016 <br /> LEGAL DESC : WALDRON WOODS <br /> : LOT 2 BLOCK l <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROV✓TIED TO BUILDING PERMIT#2012-0]177 FOR NEW HOME,PAID BY BUILDER:SWAI�'SON HOMES CK#3037� <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> SWANSON HOMES TOTAL 2,500.00 <br /> 1360 HAMEL ROAD <br /> MEDINA, MN 55340- <br /> (763)478-0320 <br /> Minnesota State License#: 627982 <br /> OWNER <br /> OLSON, MICHAEL&JENNIFER <br /> 3924 UPTON AVE S <br /> M]NNEAPOLIS, MN 5�410- <br /> AGREEMENT AND SWORN STATEMENT <br /> The���ork for which this permit is issued shall be performed according to <br /> the approved plans and specifications.applicable Cit}�approvals,and the <br /> State Buildin�Code. This permit is for only the work described and docs <br /> not 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 /> expirc and become null and void if construction authorized is not <br /> commenced within 1 RO davs of the date of issuancc.or iC construction is <br /> suspended for a period of 180 days at any time afrer work has commenced. <br /> The applicant is responsible for assurin�all required inspections are <br /> requested in conformance with the State Building Code.This permit ma��be <br /> revoked at any time for due cause. <br /> / / ! / <br /> Applicant Yernlitec Sianature Date Issued B��Si�nawre Datc <br /> SEPARATE PERMITS REQUIRED FOP. WORIi OTHER TE-iAN D;�SCRIBED ABOVE. <br />