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CITY OF ORONO I* z 1 1 IIS I 0''I i 15' 'SI 6I I*I <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/15/2015 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2310 OLIVER HILL <br /> PIN : 34-118-23-33-0075 <br /> LEGAL DESC : OLIVER HILL <br /> : LOT 5 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: REMAINDER OF ESCROW TIED TO BUILDING PERMIT#2014-01428-PAID BY:MR.&MRS.ALMSTED-CK#1750-$7,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 7,500.00 <br /> TOTAL 7,500.00 <br /> ALMSTEAD,DAVE&CHALEEN Payment(s) <br /> 415 NO. 1ST ST CHECK 7,500.00 <br /> #514 <br /> MINNEAPOLIS,MN 55401- <br /> OWNER <br /> ALMSTEAD,DAVE&CHALEEN <br /> 415 NO. 1ST ST <br /> #514 <br /> MINNEAPOLIS,MN 55401- <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 /> 11&*(tcl <br /> is / /s i .s <br /> Applicant Permitee Signature DateIssued By Signature Date <br />