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CITY OF ORONO PERMIT NO.: 2010-00466 <br /> 2750 KELL,EY PARKWAY <br /> ORONO, MN 55356- �ATE [ss[1En: 06/14/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3485 CRYSTAL PL <br /> PIN : 17-117-23-43-OOlI <br /> LEGAL DESC : NAVARRE HEIGHTS <br /> : LOT 008 BLOCK 002 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BU[LDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILD[NG PERM[T <br /> NOTE: THIS ESCROW OF$2000.00 WAS PAID FOR ON 7/6/2009 FOR I3UILDING PERMIT 2009-00258 <br /> ENTERED INTO PERMIT WORKS ON 6/14/2010. <br /> APPLICANT ESCROW FEE- BUILD[NG 2,000.00 <br /> LARSON, JASIN TOTAL 2,000.00 <br /> 3485 CRYSTAL PL <br /> WAYZATA, MN 55391- <br /> �S �(��- �0O �o <br /> OWNER C(^OZ�� � <br /> LARSON,JASIN <br /> 3485 CRYSTAL PL e��'►'u�rc-� <br /> WAYZATA, MN 55391- �'SG1'��Lv <br /> ►��S .� � Sc U <br /> AGREEMENT AND SWORN STATEMENT � <br /> The work for which this permit is issued shall be performed according to es � <br /> the approved plans and specifications,applicable City approvals,and the � ` t—' <br /> State Building Code. This permit is for only the work described and does �J�1� <br /> not grant permission for additional or related work which requires separate n <br /> permits. All provisions of laws and ordinances governing this type of work ��� <br /> shall be compied with whether or not specitied herein.This permit will V � 16' �� <br /> expire and become null and void if construction authorized is not �� ��U�(,�� , <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. � �j <br /> The applicant is responsible for assuring all required inspections are �V�Vu1h� <br /> requested in conformance with the State E3uilding Code.This permit may be <br /> revoked at any time for due cause. <br /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />