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1111 1114 11 la <br /> CITY OF ORONO * 20 1 S - 0 1 302 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/07/2015 <br /> • ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 450 OLD CRYSTAL BAY RD N <br /> PIN : 33-118-23-13-0020 <br /> LEGAL DESC : CRYSTAL BAY BUSINESS CENTER 2ND ADD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS$6800 ESCROW IS TIED TO BUILDING PERMIT#2015-00420-TEMPORARY CERTIFICATE OF OCCUPANCY <br /> APPLICANT ESCROW FEE-BUILDING 6,800.00 <br /> BAUER DESIGN BUILD TOTAL 6,800.00 <br /> Payment(s) <br /> 751 7TH ST S <br /> CHECK 007949 6,800.00 <br /> #100 <br /> DELANO,MN 55328- <br /> (763)972-0000 <br /> OWNER <br /> Jem Technical <br /> 450 OLD CRYSTAL BAY RD N <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 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 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 /> Applicant Permitee Signature Date Issued By Signature Date <br />