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CITY OF ORONO PERMIT NO.: 2010-00811 <br /> 2750 KELLEY PARKWAY <br /> �. <br /> ' v ORONO, MN 55356- �ATE ISSUED: 09/08/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 515 FERNDALE RD N <br /> PIN : 36-118-23-14-0006 <br /> LEGAL DESC : UNPLATTED 36 1 18 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 15,000.00 <br /> NOTG: PLEASE�ILL IN THG POLLOWING: <br /> VAI,UA1'ION OF PERMIT: $ 15,000.00 <br /> TYPE OF PERMIT TH1S PAYMENT[S FOR: SWIMMING POOL <br /> PERMIT#THIS YRE-PAYMENT IS TIED TO:20 1 0-008 1 2 <br /> APPLICANT ADVANCED PLAN REVIEW 172.58 <br /> CUSTOM POOLS TOTAL 172.58 <br /> 8960 EXCELSIOR BLVD <br /> HOPKINS, MN 55343 <br /> (612)933-2255 <br /> Minnesota State License#: 5023 <br /> OWNER <br /> GR[FFIN, ROBERT <br /> 125 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Buildin�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 compicd 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 ot�issuance,or if construction is <br /> suspended lor 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 /> �evoked at any tipu-fac due cause. <br /> . . >-'� � �- \ <br /> ��-— ' . �(f� � �/v / <br /> , � �,��'�. �--,. __�_�„_. <br /> �A plicant erP mitee SiK+�at e Date Issued By nature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHE AN DESCRIBED A <br />