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CITY OF ORONO 111111111111110111111 I I I MINE <br /> * <br /> 2750 KELLEY PARKWAY * 20 1 7 - 0 0 7 1 3 <br /> DATE ISSUED: 06/27/2017 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 820 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-43-0008 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.229 <br /> : LOT 027 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 32,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$32,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: SWIMMING POOL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2017--00714 <br /> APPLICANT ADVANCED PLAN REVIEW 333.26 <br /> TOTAL 333.26 <br /> OUTDOOR EXCAPES, INC. Payment(s) <br /> 2345 DANIELS STREET CREDIT CARD 4948 333.26 <br /> LONG LAKE,MN 55356- <br /> (952)926-6899 <br /> Minnesota State License#:BUIL-20630819 <br /> OWNER <br /> FREES,KEATON&HANS <br /> 820 OLD CRYSTAL BAY RD S <br /> WAYZATA, MN 55391- <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. f� <br /> 7�l S'C) � I, <br /> Applicant Permitee Signature Date Issued B igna ure Date <br />