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, z <br /> CITY OF ORONO * Z 0 1 5 - 0 0 6 0 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/15/201_5 <br /> ORONO, MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2735 DEER RUN TR E <br /> PIN : 04-117-23-13-0013 <br /> LEGAL DESC : N/A <br /> : LOT 006 BLOCK 001 <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$2500 ESCROW IS'I�IED TO 13UILDING PERMIT 2015-00607 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> ESCROW FEE-EROSION CONTROL 0.00 <br /> NIH HOMES ESCROW FEE-GRADING 0.00 <br /> 6840 213TH AVENUE <br /> ELK RNER, MN 55330- TOTAL 2,500.00 <br /> (763)753-1750 Payment(s) <br /> Minnesota State License#: BUIL-BC419931 CHECK 23344 2,500.00 <br /> OWNER <br /> NIH HOMES <br /> 6840 213TH AVE <br /> ELK RIVER, MN 55330- <br /> AGREEMENT AND SWORN STATEMENT <br /> I�hc work tix��hich this pemiit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals.and the <br /> State Building Code. 'I�his pemiit is for only the work described and does <br /> not grant permission for additional or related work��hich requires separate <br /> permits. All provisions of law�s and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This pemiit H�ill <br /> expire and become null and void if construction authorized is not <br /> commenced�vi[hin I 80 da��s of the date of issuance,or if construction is <br /> suspended lor a period of 180 dags at an��time after���ork has commenced. <br /> I'he applican[is responsible for assuring all required inspections are <br /> requested in confi�rmance���ith the State Building Code.This perniit may be <br /> revoked at any time for due cause. <br /> / / <br /> Applicant Permitee Signtiture Date Issued {3y Signature Datc <br />