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� � CITY OF ORONO PERMIT NO.: Zoiaoo�o2 <br /> 2750 KELLEY PARKWAY <br /> '�"�� ORONO,MN 55356- DATE ISSUED: 08/23/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4415 NORTH SHORE DR <br /> PIN : 07-117-23-43-0017 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT 000 BLOCK 018 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUII.,DING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS ESCROW PAYMENT OF$2500.00 IS TIED TO BUILDING PERMIT 2010-00679 PAID BY CHECK#13499 <br /> FROM HOMEOWNER CHRIS OR DARLA TWOMEY <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TWOMEY,DAREA&CHRIS •�' TOTAL 2,500.00 <br /> 150 ZND STREET NE <br /> MINNEAPOLIS,MN 55413- <br /> OWNER ' <br /> TWOMEY,DAREA&CHRIS <br /> 150 2ND STREET NE <br /> MINNEAPOLIS,MN 5541� <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he 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. T'his 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.7'his petmit 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 appiicant is responsible for assuring all 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 /> � � �� � � �Jv <br /> Applicant Permitee Signature Date - <br /> ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />