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CITY OF ORONO Ill I I11l lit 11 Ill III 111111 <br /> * 2 0 1 6 - 0 1 3 3 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/04/2016 <br /> ORONO, MN 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-IN GROUND <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 32,500.00 <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 523.99 <br /> STATE SURCHARGE(VALUATION) 16.25 <br /> JRS POOLS TOTAL 540.24 <br /> 1105 CROFOOT AVE.NW Payment(s) <br /> BUFFALO, MN 55313 CHECK 13862 540.24 <br /> OWNER <br /> NYQUIST,MATTHEW&JENNIFER <br /> 6126 MAIN STREET W <br /> MAPLE PLAIN, MN 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 /> 1 fec ll I /4 /6 <br /> App nt ermitee Signature ate ssu-d By .: ature Date <br />