HomeMy WebLinkAbout2010-00466 - escrow fee CITY OF ORONO PERMIT NO.: 2010-00466
2750 KELL,EY PARKWAY
ORONO, MN 55356- �ATE [ss[1En: 06/14/2010
952 249-4600 FAX: 952 249-4616
ADDRESS : 3485 CRYSTAL PL
PIN : 17-117-23-43-OOlI
LEGAL DESC : NAVARRE HEIGHTS
: LOT 008 BLOCK 002
PERMIT TYPE : ESCROW FEE-TIED TO BU[LDING PERMIT
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILD[NG PERM[T
NOTE: THIS ESCROW OF$2000.00 WAS PAID FOR ON 7/6/2009 FOR I3UILDING PERMIT 2009-00258
ENTERED INTO PERMIT WORKS ON 6/14/2010.
APPLICANT ESCROW FEE- BUILD[NG 2,000.00
LARSON, JASIN TOTAL 2,000.00
3485 CRYSTAL PL
WAYZATA, MN 55391-
�S �(��- �0O �o
OWNER C(^OZ�� �
LARSON,JASIN
3485 CRYSTAL PL e��'►'u�rc-�
WAYZATA, MN 55391- �'SG1'��Lv
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AGREEMENT AND SWORN STATEMENT �
The work for which this permit is issued shall be performed according to es �
the approved plans and specifications,applicable City approvals,and the � ` t—'
State Building Code. This permit is for only the work described and does �J�1�
not grant permission for additional or related work which requires separate n
permits. All provisions of laws and ordinances governing this type of work ���
shall be compied with whether or not specitied herein.This permit will V � 16' ��
expire and become null and void if construction authorized is not �� ��U�(,�� ,
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. � �j
The applicant is responsible for assuring all required inspections are �V�Vu1h�
requested in conformance with the State E3uilding Code.This permit may be
revoked at any time for due cause.
/ / / /
Applicant Permitee Signature Date Issued By Signature Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.