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� � � CITY OF ORONO PERMIT NO.: 2010-00446 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE ISSUEu: 06/10/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3980 CHERRY AVE <br /> PIN : 08-117-23-33-0026 <br /> LEGAL DESC : CRYSTAL BAY V[EW <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERM[T <br /> NOTE: ESCKOW WAS RECEIVED ON JUNE 2,2010-PERMIT WAS NOT CREATED IN PERMIT WORKS UNTIL 6/10/10. <br /> APPLICANT <br /> ESCROW FEE-BUILDING 2,500.00 <br /> SCHULTZ, KEVIN TOTAL 2,500.00 <br /> 5620 GIRARD AVE N <br /> MINNEAPOLIS, MN 55430- <br /> OWNER <br /> SCHULTZ, KEVIN <br /> 5620 GIRARD AVE N <br /> MINNEAPOLIS, MN 55430- <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 taws and ordinances governing this type of Hork <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if consVuction 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />