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CITY OF ORONO * Z 0 1 2 - 0 0 7 4 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1900 FOX RIDGE RD <br /> PIN : 03-117-23-13-0009 <br /> LEGAL DESC : FOX R[DGE <br /> : LOT 005 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ I5,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ ]5000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INGOROUND SWIMMING POOL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2012-00744 <br /> APPLICANT ADVANCED PLAN REVIEW 172.58 <br /> PERFORMANCE POOL& SPA TOTAL 172.58 <br /> 1890 WOODDALE DRIVE <br /> WOODBURY, MN 55125 <br /> (651)731-3440 <br /> OWIYER <br /> L[NDQUIST, RUSTY& SHANNON <br /> 1900 FOX RIDGE RD <br /> LONG LAKE, MN 55356- <br /> AGREEMEIVT AND SWORN STATEMENT <br /> I�he 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. 'I�his permit is for only the work described and does <br /> not grant permission for additional or related work which requires scparate <br /> permrts. All provisions of laws and ordinances governing this typc of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construc[ion authorized is not <br /> commenced within 180 days of the da[e 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 /> / / / / <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />