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� CITY OF ORONO * 2 0 1 6 - 0 1 0 9 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/07/2016 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3145 NORTH SHORE DR <br /> PIN : 09-117-23-33-0013 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1113 <br /> : LOT 000 BLOCK 000 <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 ADDITION PERMIT#2016-01088-PAID BY:BOYER BUILDING CORP-CK#051005 -$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> BOYER BUILDING CORPORATION Payment(s) <br /> 3435 COUNTY ROAD 101 CHECK 051005 2,500.00 <br /> MINNETONKA, MN 55345- <br /> (612)475-2097 <br /> Minnesota State License#: BUIL-2988 <br /> OWNER <br /> PETERSON, SVERON <br /> 3145 NORTH SHORE DR <br /> WAYZATA, MN 55391- <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 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. 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 l80 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time afrer 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 /> - �� �' - ._ �� � �� I�� ���� <br /> �Z--�-- � � /� �- �- �� 7 �/ � <br /> Appl,ie�nt Permitee Signature Date Issued By Signature Date <br /> �` <br />