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CITY OF ORONO * 2 0 1 6 - 0 1 4 Z 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U14/2016 <br /> . ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> AigDRESS � 1415 PARK DR <br /> PIN : T000162 <br /> LEGAL DESC : SAGA HILL REVISED <br /> : LOT MB BLOCK MB <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 ADDITION PERMIT#2016-01423 -PAID BY:R HOUSE DEISNG BUILD-CHECK#1648-$2,500.00. THEY ARE <br /> AWARE THE MONEY WILL GET REFiJNDED TO THE OWNER. <br /> APPLICANT ESCROW FEE-BUILDING 2,500.00 <br /> TOTAL 2,500.00 <br /> R HOUSE DESIGN BUILD Payment(s) <br /> P.O. BOX 1153 CHECK 1648 2,500.00 <br /> CHANHASSEN,MN 55317- <br /> (952)393-4667 <br /> Minnesota State License#: BUIL-BC678783 <br /> OWNER <br /> BRANTER, BRIAN <br /> 1415 PARK DRIVE <br /> MOUND, MN 55364- <br /> AGREEMENT AND SWORIv STATEMENT <br /> The work for��hich 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 docs <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing diis type of work <br /> shall be compicd with whether or not specified herein.This permit will <br /> expire and become null and�•oid if wnstruction authorized is not <br /> commenced wi[hin 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 appl ant is responsible for assuring all required inspections are <br /> requcste�in conformance with the State Building Code.This permit may be <br /> revoked a'any ti ne u ause. � /��j� <br /> � � (%%, <br /> � V � � � <br /> ►1 � Z� ��1�� � �% <br /> ica t Permitee Si nature Date Issued y Signa re Date <br />