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CITY OF ORONO PERMIT NO.: 2011-00595 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 07/07/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3580 WATERTOWN RD <br /> PIN : 32-118-23-43-0003 <br /> LEGAL DESC : UNPLATTED 32 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 45,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 45,000 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: IN-GROUND POOL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO: 2011-00594 <br /> APPLICANT ADVANCED PLAN REVIEW 408.20 <br /> DOLPHIN POOL&SPA,INC. TOTAL 408.20 <br /> 3405 N HWY 169 <br /> PLYMOUTH,MN 55441- <br /> (612)542-9000 <br /> Minnesota State License#:20266452 <br /> OWNER <br /> COOK,PETER&KARI <br /> 3580 WATERTOWN RD <br /> LONG LAKE,MN 55356 <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 /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />