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CITY OF ORONO HI III 1 1 1 <br /> 2750 KELLEY PARKWAY * 2 1 7 — 0 0 2 2 <br /> DATE ISSUED: 03/28/22 017 <br /> ORONO,MN 55356- r� <br /> (952)249-4600 FAX: (952)249-4616 fi LQ VJ <br /> ADDRESS : 425 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-31-0001 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.230 <br /> : LOT 020 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: THIS$2500 ESCROW IS TIED TO DEMOLITION PERMIT 2017-00293 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> KVALSETH,JAHN&CHRISTINE TOTAL 2,500.00 <br /> Payment(s) <br /> 13650 ASHCROFT ROAD I <br /> SAVAGE,MN 55378- CHHECKECK1299 2,500.00 <br /> 11 <br /> OWNER <br /> KVALSETH,JAHN&CHRISTINE <br /> 13650 ASHCROFT ROAD <br /> SAVAGE,MN 55378- <br /> i <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be erformed according to <br /> the approved plans and specifications,applicable ity approvals,and the <br /> State Building Code. This permit is for only theork described and does <br /> not grant permission for additional or related wor,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 aythorized is not <br /> commenced within 180 days of the date of issuan ,or if construction is <br /> suspended for a period f 180 days at any time afttr work has commenced. <br /> The applicant is responslible for assuring all requird inspections are <br /> requested in conforman4e with the State Building rode.This permit may be <br /> revoked at any time for}hie cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />