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-�-�l�- <br /> CITY OF ORONO * z 0 1 � - 0 0 1 5 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/2U2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 701 DICKEY LAKE DR <br /> PIN : 34-118-23-22-0005 <br /> LEGAL DESC : RINGERSWOOD <br /> : LOT 001 BLOCK 002 <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$2250 ESCROW IS TIED TO BUILDNG PERMIT NUMBER 2017-00146-THE REMAINING ESCROW PAYMENT WILL BE <br /> COLLECTED WITH THE BUILDING FEE WHEN WE ISSUE THE PERMIT FOR THE NEW STRUCTURE. WE WILL NEED TO COLLECT <br /> THE ADDITIONAL ESCROW AT THE TIME THE BUILDING PERMIT IS ISSUED. <br /> APPLICANT ESCROW FEE-BUILDING 2,250.00 <br /> TOTAL 2,250.00 <br /> GONYEA HOMES Payment(s) <br /> 1000 BOONE AVE N#400 CHECK 13684 2,250.00 <br /> GOLDEN VALLEY,MN 55427- <br /> (612)741-9069 <br /> Minnesota State License#:BUIL-2459 <br /> OWNER <br /> PUGH, PATRICK&KAREN <br /> 701 DICKEY LAKE DR <br /> LONG LAKE,MN 55356- <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 Ciry 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. 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 a►I required inspections aze <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 />