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� . <br /> f CITY OF ORONO * 2 0 1 5 - 0 1 2 6 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/30/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1840 LAKEVIEW TER <br /> PIN : 27-118-23-42-0010 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 005 BLOCK 001 <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 5700 ESCROW IS TIED TO BUILDING PERMIT 2015-01142. PAYMENT BY EHR CONSTRUCTION <br /> APPLICANT ESCROW FEE-BUILDING 700.00 <br /> TOTAL 700.00 <br /> EXCEPTIONAL HOMES&REMODELING,INC payment(s) <br /> 2890 QUEENSLAND LANE N CHECK 3254 700.00 <br /> MAPLE GROVE,MN 55311- <br /> (612)221-5994 <br /> Minnesota State License#:BUIL-20626822 <br /> OWNER <br /> MERNIK,WILLIAM&LISA <br /> 1840 LAKEVIEW TER <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfomted according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This percr►it is for only the work described and dces <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 /> expire and become null and void if construction suthorized 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 />