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f - <br /> � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 7 - 0 0 P1 3 1 * <br /> DATE ISSUED: OU12/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 780 LAKEVIEW PKWY <br /> PIN : 06-117-23-43-0021 <br /> LEGAL DESC : LAKEVIEW OF ORONO <br /> : LOT 7 BLOCK 3 <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 ESCROW IS TIED TO BUILDING PERMIT 2016-01501 <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> GONYEA HOMES TOTAL 2,500.00 <br /> 1000 BOONE AVE N#400 Payment(s) <br /> GOLDEN VALLEY,MN 55427- CHECK 13262 2,500.00 <br /> (612)741-9069 <br /> Minnesota State License#:BUIL-2459 <br /> OWNER <br /> Gonyea Homes <br /> 780 LAKEVIEW PKWY <br /> MOLJND,MN 55364- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable Ciry 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 pertnit will <br /> expire and become null and void if construction authorized is not <br /> commenced within l80 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 aze <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 />