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CITY OF ORONO III 1 1111111 11 0 1 111 1111 II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2016 <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 : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 25,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 25,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: DETACHED POOL HOUSE <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-01375 <br /> APPLICANT ADVANCED PLAN REVIEW 281.89 <br /> • TOTAL 281,89 <br /> OUTDOOR EXCAPES,INC. Payment(s) <br /> 2345 DANIELS STREET CREDIT CARD 4948 281.89 <br /> LONG LAKE,MN 55356- <br /> (952)926-6899 <br /> Minnesota State License#:BUIL-20630819 <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 tim <br /> 11WIA <br /> Y <br /> Appli ant '"" • atu = Date Issued By tgnature Date <br />