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CITY OF ORONO � 0 1 7 - 0 0 0 1 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OU10/2017 <br /> ORONO, MN 55356- <br /> � (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 725 LAKEVIEW PKWY <br /> PIN : 06-117-23-34-0008 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 20 BLOCK 1 <br /> PERMIT TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ESCROW FEE-TIED TO BUILDING PERMIT <br /> NOTE: ESCROW FOR NEW HOME PERMIT#2017-010014-PA[D BY:SWANSON HOMES,CK#37785,$2,500.0�. NTRACTOR WAS <br /> INFORMED THAT THE ESCROW MONEY WOULD BE REFUNDED BACK TO THE HOMEOWNER. INITIAL: ` <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> SWANSON HOMES Payment(s) <br /> 1360 HAMEL ROAD CHECK 37785 2,500.00 <br /> MEDINA,MN 55340- <br /> (763)478-0320 <br /> Minnesota State License#: BUIL-627982 <br /> OWNER <br /> RUSIN,GRANT&AMANDA <br /> 15508 60TH AVE N <br /> PLYMOUTH,MN 55446- <br /> AGREEMENT AND SWORIv 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 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 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conforma ce with the State Building Code.This permit may be <br /> revoked at a�tim or due cause. <br /> � i'' ; ��.� <br /> � � � `� � <br /> ����� ` I �r� ���'� � �,. � I � : �-f�,�_ / , l � , l�) <br /> Applicant Permitee Signature ate Issued By Signature Date <br />