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CITY OF ORONO * z 0 1 7 - 0 0 0 8 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: O1/30/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4765 AUGUSTA ST <br /> PIN : 06-117-23-33-0009 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 7 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BU[LDING PERMIT <br /> NOTE: ESCROW FOR NF W HOME PERMIT�2017-00086-Pn[D BY OWNER: SW'ANSON HOMGS,CK#37876-$2,500.00 <br /> APPLICAI�T ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> Swanson Homes Payment(s) <br /> 1360 HAMEL RD 2,500.00 <br /> MEDINA,MN 55340- <br /> (763)478-0320 <br /> OWNER <br /> Swanson Homes <br /> 1360 HAMEL RD <br /> MEDINA, MN 55340- <br /> AGREEMENT AND SWORN STATEMEIYT <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 E3uilding 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 laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire 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 1 AO days at any time after work has commenced. <br /> "1'he 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 /> � c� �i, �C��'�C 1 �C L'�,f>L � i jC� ./ <br /> Appiicant Permitee Signat e Date Issued By Signature Date <br />