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� � CITY OF ORONO * z 0 1 6 — 0 PJ 6 2 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/O1/2016 <br /> ' ORONO,MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3375 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0018 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDITION <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR TEMP CO ON BUILDING PERMIT#2015-00570-PAID BY:WOODSALE BUILDERS-CK#85085-$7,500.00 <br /> NO ESCROW AGREEMENT ALONG WITH THIS CHECK. <br /> APPLICA1vT ESCROW FEE-BUILDING 7,500.00 <br /> TOTAL 7,500.00 <br /> �NGODDALE BUILDERS INC. Payment(s) <br /> 6117 BLUE CR DR CHECK 85085 7,500.00 <br /> MINNETONKA,MN 55343- <br /> (952)345-0543 <br /> Minnesota State License#: BUIL-BC002926 <br /> �J <br /> OWNER ,� �� �"? �� <br /> Wooddale Builders �� ���� � <br /> 6117 BLLTE CIRCLE DR, STE 101 �/ y �a <br /> MINNETONKA,MN 55343- �`�` � <br /> r� } ;v <br /> R �.� <br /> , ��� ,;�-'- ,, <br /> �� `� �� r�� <br /> AGREEMENT AND SWORN STATEMENT � �`' \��� <br /> r� ��� <br /> The work for which this permit is issued shall be perfortned according to �, <br /> the approved plans and specifications,applicable City approvals,and the L� \ ? ^�V`�/ <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 \ � ;�1� <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 ', �� "iva'� t���' <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. �G�'`' / � { <br /> The applicant is responsible for assuring all required inspections are �k,l <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> I� <br /> �-�..�� <br /> �Z.� tt— �C�e � /�� t �s o � � / i�h <br /> App(icant Permitee Signature Date Issued By ignature Date <br />