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CITY OF ORONO III III I I I I II 11111111111111111111111111111 <br /> * 2 0 1 6 - 01375 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/15/2016 <br /> ORONO,M2 <br /> 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1125 PINE VIEW DR <br /> PIN : 28-118-23-42-0007 <br /> LEGAL DESC : PINE VIEW <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL HOUSE <br /> ACTIVITY : 328-OTHER NONRESIDENTIAL BUILDINGS <br /> VALUATION : $ 25,000.00 <br /> NOTE: DETACHED POOL HOUSE <br /> NOTE:PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY MU T BE ACED AND APPROVED. INITIAL: / ' <br /> AIP <br /> & 1011 <br /> 0 a� <br /> APPLICANT PERMIT FEE SCHEDULE 433.67 <br /> STATE SURCHARGE(VALUATION) 12.50 <br /> OUTDOOR EXCAPES,INC. TOTAL 446.17 <br /> 2345 DANIELS STREET Payment(s) <br /> LONG LAKE,MN 55356- CREDIT CARD 4948 446.17 <br /> (952)926-6899 <br /> Minnesota State License#:BU -20630819 <br /> WNER <br /> NYQUIST,MATT I. &JENNIFER <br /> 6126 MAIN SIRE. W <br /> MAPLE PLAIN, 55359- <br /> AGREEMENT AND SWORN 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 conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> iso'v*AbA 45i <br /> Applicant '11111111-e Shure Date Issued ii Signature Date <br />