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CITY OF ORONO F J!I I II VI I I II II LI 1 I 1111 II <br /> 2750 KELLEY PARKWAY * 20 14 - 0 1 22 2 * <br /> DATE ISSUED: 03/26/2015 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1060 TONKAWA RD <br /> PIN : 08-117-23-13-0019 <br /> LEGAL DESC : RYANWOOD <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL-IN GROUND <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 75,526.00 <br /> NOTE: 12'X 12'SPA <br /> COMBINED ESCROW WITH 2014-01310 / <br /> AS-BUILT SURVEY REQUIRED PRIOR TO ESCROW RELEASE. INTITIAL: . <br /> APPLICANT PERMIT FEE SCHEDULE 920.72 <br /> OLYMPIC POOLS,INC. PLAN REVIEW 28.58 <br /> 135 S ATWOOD STREET STATE SURCHARGE(VALUATION) 37.76 <br /> SHAKOPEE,MN 55379 TOTAL <br /> 987.06 <br /> (952)445-7779 Payment(s) <br /> Minnesota State License#:BUIL-20458239 CREDIT CARD 3850 987.06 <br /> OWNER <br /> Dielan LLC <br /> 1060 TONKAWA ROAD <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 /> 4Ja0rs 1 <br /> 4 —C ,CS' <br /> plicant Permitee Signature Date Issues :y Signature <br /> Date <br />