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, CITY OF ORONO * Z 0 1 5 - 0 0 1 3 3 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: OU30/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 125 KINTYRE LA <br /> PIN : 32-118-23-43-0017 <br /> LEGAL DESC : KINTYRE TWO <br /> : LOT 3 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTIOIY TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: TIED TO BUILDING PERMIT 2014-00685 FOR NEW HOME,PD BY GONYEA HOMES INC-CK#15064-$7,500.00 <br /> APPLICANT ESCROW FEE-BUILDING 7,500.00 <br /> TOTAL 7,500.00 <br /> GONYEA HOMES Payment(s) <br /> 6102 OLSON MEMORIAL HIGHWAY CHECK 15064 7,500.00 <br /> GOLDEN VALLEY,MN 55427- <br /> (612)741-9069 <br /> Minnesota State License#: BUIL-2459 <br /> OWNER <br /> Gonyea Homes <br /> 6102 OLSON MEMORIAL HWY <br /> GOLDEN VALLEY, MN 55427- <br /> AGREEMENT AND SWORN STATEMENT <br /> 'I'he work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvais,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for addi[ional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied wi[h 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all cequired 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 /> ; ` _... ..... . , . <br /> , ` <br /> /� Z <br /> �..�. �\ � �����.�%'� � / '� �/ l <br /> ApplicantPermitee Signature Date Issued By Signature Date <br />