HomeMy WebLinkAbout2015-01468 - escrow fee Bill 1111111111110M
CITY OF ORONO * 2 0 1 S - 0 1 4 6 8 *
2750 KELLEY PARKWAY DATE ISSUED: 11/16/2015
ORONO,MN 55356-
952 249-4600 FAX: 952 249-4616
ADDRESS 3245 WATERTOWN RD
PIN 05-117-23-11-0001
LEGAL DESC AUDITOR'S SUBD.NO.203
LOT 002 BLOCK 000
PERMIT TYPE ESCROW FEE-TIED TO BUILDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT
NOTE: THIS$700 ESCROW IS TIED TO BUILDING PERMIT#2015-01467
APPLICANT ESCROW FEE-BUILDING 700.00
RHAME,CARL Payment(s) TOTAL 700.00
3245 WATERTOWN RD CHECK 10560 700.00
LONG LAKE,MN 55356-
OWNER
RHAME,CARL
3245 WATERTOWN RD
LONG LAKE,MN 55356-
AGREEMENT AND SWORN STATEMENT
The work for which this permit is issued shall be performed according to
the approved plans and specifications,applicable City approvals,and the
State Building Code. This permit is for only the work described and does
not grant permission for additional or related work which requires separate
permits. All provisions of laws and ordinances governing this type of work
shall be compied with whether or not specified herein.This permit will
expire and become null and void if construction authorized is not
commenced within 180 days of the date of issuance,or if construction is
suspended for a period of 180 days at any time after work has commenced.
The applicant is responsible for assuring all required inspections are
requested in conformance with the State Building Code.This permit may be
revoked at any time for due cause.
Applicant Permitee Signature Date Issued By Signature Date
CARL P.OR ANDREA J.RHAME 10560 !
` 3246 WAERVOWN 40. PH;86P-4784673 / 7542MIC !
LONG MM M MH 56866
Date
Pay to the _
of $ 706-u4/
Order
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For--.- 1
City of Orono
2750 Kelley Parkway
Orono MN 55356
952-249-4600
Receipt No: 3.014670
Nov 16, 2015
i
Carl Rhame
Previous Balance:
Permits .00
2015-01467 3245
Watertown Rd 700.00
101-22205
Deferred Rev-Developer Deposit
Total:
---------------
700.00
Check
Check No: 10560
Payor:
700.00
Carl Rhame
Total Applied:
700.00
Change Tendered; .00
i
11/16/2015 02:11PM=====
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