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CITY OF ORONO * 2 0 1 5 - 0 0 7� <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: 07/27/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2655 COUNTRYSIDE DR W <br /> PIN : 04-117-23-13-0006 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 006 BLOCK 003 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL- IN GROUND <br /> VALUATION : $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL AND ELECTRICAL(STATE) <br /> IN-GROUND POOL <br /> APPLICANT PERMIT FEE SCHEDULE 278.81 <br /> STATE SURCHARGE(VALUATION) 7.50 <br /> PERFORMANCE POOL& SPA TOTAL 286.31 <br /> 2405 ANNAPOLIS <br /> PLYMOUTH, MN 55441- Payment(s) <br /> (763)270-1180 CHECK 1381 28631 <br /> OWNER <br /> VOSSEN, MICHAEL&KATHLEEN <br /> 2655 COUNTRYSIDE DR W <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AIVD 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 rela[ed work which requires separate <br /> permits. All provisions of laws and ordinances goveming 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[he 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 respo le for assuring all required inspections aze <br /> reque e conforma e S,{ate Building Code.This permit may be <br /> rev ed a ny tim� d e.r' _ <br /> .� <br /> � <br /> S � �� � � o � �a`� �i 5 <br /> cant Per if Signature Date Issued Signature Date <br />