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• CITY OF ORONO <br /> Ili �I1 I i� 1 1 <br /> 2750 KELLEY PARKWAY * 20 1 4 - 0 1 4 3 4 * <br /> DATE ISSUED: 12/15/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 20 ORONO ORCHARD RD N <br /> PIN : 35-118-23-33-0038 <br /> LEGAL DESC : ORONO OAKS <br /> : LOT MB 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: ESCROW TIED TO NEW HOME BUILDING PERMIT#2014-00199-PD CK#25024 <br /> APPLICANT ESCROW FEE-BUILDING 7,500.00 <br /> NIH HOMES TOTAL 7,500.00 <br /> 6840 213TH AVENUE Payment(s) <br /> ELK RIVER,MN 55330- CHECK 25024 7,500.00 <br /> (763)753-1750 <br /> Minnesota State License#:BUIL-BC419931 <br /> OWNER <br /> NIH Homes,LLC <br /> 6840 213TH AVE <br /> ELK RIVER,MN 55330- <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 ny time after work has commenced. <br /> The applicant is responsible for assuri`rg 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 /> � lz� /219A icant Permitee Signa Date <br /> Issued By Signature Date <br /> f <br />