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CITY OF ORONO PERMIT NO.: 2010-00454 <br /> � . 2750 KELLEY PARKWAY <br /> � ORONO, MN 55356- �ATE IssuEn: 06/1U2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2905 FOX ST <br /> PIN : 04-117-23-34-0007 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 035 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILD[NG PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILD[NG PERM[T <br /> NOTE: THIS ESCROW OF$2500.00 WAS PAID FOR ON 3/23/2010 FOR BUILDING NERMIT-#2010-00090. <br /> ENTERED INTO PERMIT WORKS ON 6/1 U2010. <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> FRANCIS, M[CHAEL& BERIT TOTAL 2,500.00 <br /> 2905 FOX ST <br /> LONG LAKE, MN 55356- <br /> OWNER <br /> FRANCIS, MICHAEL& BERIT <br /> 2905 FOX ST <br /> LONG LAKE, MN 55356- <br /> AGREEMEIYT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and 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. Aii provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specitied 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 bc <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />