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CITY OF ORONO * 2 0 1 5 - 0 0 1 6 8 * <br /> t �� 2750 KELLEY PARKWAY DATE ISSUED: 02/09/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1100 PINE VIEW DR <br /> PIN : 28-118-23-42-0010 <br /> LEGAL DESC : PT�iE VIEW <br /> : LqT 4 BLOCK 1 <br /> PERMIT TYPE : E�CROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW TIED TO NEW HOIviE PERMIT#2015-00042-PAID BY OWNER,WIGGINS$2,500.00 CK#2026 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> WIGGINS,JASON&AMANDA Payment(s) <br /> 410 N 2ND ST CHECK 2026 2,500.00 <br /> LJNIT 449 <br /> MINNEAPOLIS,MN 55401- <br /> OWNER <br /> WIGGINS,JASON&AMANDA <br /> 410 N 2ND ST <br /> LJNIT 449 <br /> MINNEAPOLIS,MN 55401- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued sh811 be performed according to <br /> the approved plans and specifications,appli�cable City approvals,and the <br /> State Building Code. This permit is for onl�the work described and dces <br /> not grant permission for additional or relate�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 speci�ed herein.This permit will <br /> expire and become null and void if construation 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 alt 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 /> . �,y� 2, g , <br /> Applicant Permitee i ature Date Issued By Signature Date <br />