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� � � CITY OF ORONO <br /> 2750 KELLEY PARKWAY * 2 0 1 3 - 0 0 8 0 3 * <br /> DATE ISSUED: 08/15/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2820 FARVIEW LA <br /> PIN : 04-117-23-34-0005 <br /> LEGAL DESC : FARVIEW <br /> : LOT 002 BLOCK 003 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 40,000.00 <br /> NOTE: PLGASE FILL IN THE FOLLOWING: <br /> VALUATION OF'PERMIT: $ 40,000.00 <br /> TYPE OP PERMIT THIS PAYMENT IS FOR: BUILDING PI?RMIT-POOL <br /> PERMI"1�#"I'HIS PRG-PAYMENT IS T[ED 7�0:2013-00802 <br /> APPLICANT ADVANCED PLAN REVIEW 373.26 <br /> DOLPHIN POOL& SPA, INC. TOTAL 373.26 <br /> 3405 N HWY 169 <br /> PLYMOUTH, MN 55441- <br /> (6l2)542-9000 <br /> Minnesota State License#: 20266452 <br /> OWNER <br /> rr�n� nr� T r/�nnec � �T**�^ � ,��. y�� <br /> �+ ^rrcv-z-r�vrsn co-t�cz iL,i����i, Jl�t/ <br /> 2820 FARVIEW LA <br /> LONG LAKE, MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work for which[his permit is issued shall be performed according[o <br /> the approved plans and specitications,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 specitied hereia This permi[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 assurin�all required inspections are <br /> requested in conforman e with the State E3uilding Code. I his permit may be <br /> revoked at any t������� <br /> / / / / <br /> App icant �� e Signature Date Issued By ignature <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE THAN DESCRIBED AB . <br />