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. . CITY OF ORONO *�5 - 0 0 7 4 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OC�10/2015 <br /> ORONO,IVIN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2660 PHEASANT RD <br /> PIN : 21-117-23-23-0022 <br /> LEGAL DESC : PHEASANT LAWN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: THIS 52500 ESCROW IS TIED TO BUILDING PERMIT 2015-00746 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> HAYHURST,GREGORY&GAYLE Payment(s) <br /> 2660 PHESANT RD CHECK 571 2,500.00 <br /> EXCELSIOR,MN 55331- <br /> OWNER <br /> HAYHURST,GREGORY&GAYLE <br /> 2660 PHESANT RD <br /> EXCELSIOR,MN 55331- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pecmit 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 dces <br /> not gant permission for additional or related work which requires separate <br /> permiu. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expiro 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 confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br />