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CITY OF ORONO * z 0 1 6 - 0 0 0 6 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU19/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 1375 PARK DR <br /> PI lY : 07-117-23-41-0079 <br /> LEGAL DESC : SIDWELL ADDN <br /> : LOT 001 BLOCK 001 <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 FOR ADDITION/REMODEL PERMIT#201Cr00060-PAID BY:HANSEN HOMETECH-CK#29844-$2,500.00 <br /> APPLICANT ESCROW FEE- BUILDING 2,500.00 <br /> HANSEN HOMETECH INC. TOTAL 2,500.00 <br /> 7920 KERBER Payment(s) <br /> CHECK 29844 2,500.00 <br /> CHANHASSEN, MN 55317 <br /> (952)394-0854 <br /> OW1vER <br /> GEHL, LARRY <br /> 1375 PARK DR <br /> MOUND, MN 55364- <br /> AGREEMENT A1vD 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 permi[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 goveming 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 aze <br /> requested in conformance with the State Building Code.This permit may be A��'�' � <br /> revoke t ny time for ause. 1 � / <br /> � � <br /> � � � <br /> r� � I �y � � ��`,T, ,� ����E�z��r - , °;; �� <br /> A icant ermitee 'gnature ate Issued By Signature Date <br />