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I ' I'� IA i I' I II I'� 1 ��I!� I H !� <br /> CITY OF ORONO * 20 1 7 - 0 1 1 79 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/22/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 896 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-12-0004 <br /> LEGAL DESC : UNPLATTED 09 117 23 <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: THIS$2500 ESCROW IS TIED TO DEMO PERMIT 2017-00702-PAID BY KAMISH EXCAVATING WITH CHECK#23893 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> KAMISH EXCAVATING TOTAL 2,500.00 <br /> 1301 S CONCORD STREET Payment(s) <br /> CHECK 23893 2,500.00 <br /> SOUTH ST PAUL,MN 55075- <br /> (651)457-3600 <br /> OWNER <br /> METRO WASTE CONTROL <br /> 350 METRO SQUARE BLDG <br /> ST PAUL,MN 55101- <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 Perrnitee Signature Date Issued By Signature Date <br />