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• <br /> • <br /> CITY OF ORONO II I I I II I IIIIII I L <br /> I I i - 0I � 4�I I'I * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/20/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1125 PINE VIEW DR <br /> PIN : 28-118-23-42-0007 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 1 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 FOR IN-GROUND POOL PERMIT#2016-01339-PAID BY:OWNER,MATTHEW NYQUIST-CK#158-$2,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> NYQUIST,MATTHEW&JENNIFER Payment(s) <br /> 6126 MAIN STREET W CI IECK 158 2,500.00 <br /> MAPLE PLAIN, MN 55359- <br /> OWNER <br /> NYQUIST,MATTHEW&JENNIFER <br /> 6126 MAIN STREET W <br /> MAPLE PLAIN,MN 55359- <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 /> J <br /> �a �1) Signature <br /> te e-1 / / <br /> bi 20/ /,e <br /> Applicant Permitee Signature ate Issued B Si nature Date <br />