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CITY OF ORONO * z 0 1 2 - 0 0 9 8 0 * � 2750 KELLEY PARKWAY DATE ISSUED: 04/30/2013 � ORONO, MN 55356- � (952) 249-4600 FAX: (952) 249-4616 ADDRESS : 3350 FOX ST PIN : OS-117-23-44-0008 LEGAL DESC : FULLERTON ESTATES : LOT 004 BLOCK 001 PERMIT TYPE : ACCESSORY STRUCTURE PROPERTY TYPE : RESiDENTIAL CONSTRUCTION TYPE : POOL- IN GROUND ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS VALUATION : $ 90,000.00 NOTE: SEPARATE PERMIS RE;QUIRED: MECHANICAL AND ELECTRICAL(STATE) ADV PLAN REVIEW PD 2012-00979$638.14 * POOL ESCROW INCLUDED WITH OVERALL PROJECT ESCROW. NO REFUND UNTIL ALL PROJECTS ARE DONE AND AS-BU[L1' SL`RVEY APPROVED. APPLICANT PERMIT FEE SCHEDULE 981 JS STEINER& KOPPELMAN STATE SURCHARGE(VALUATION) 45.00 18340 MINNETONKA BLVD DEEPHAVEN, MN 55391- TOTAL 1,026.75 (612)473-5435 Minnesota State License#: 3721 OWNER BIGOS,NANCY 3350 FOX ST LONG LAKE,MN 55356- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances goveming[his type of work shall be compied with whether or not specified herein.This permi[will expire and become null and void if construction authorized is not commenced within 180 days of[he date of issuance,or if construction is suspended for a period of 180 days a[any time after work has commenced. The applicant is responsible for assuring all required inspections are requested in co � rmanc w� e S te Building Code.This permit may be rev ed at y time for e caus �( � 3v � t3 / / pp i ant Permite ' nature Date Issued y S� ature SEPARATE PERMITS REQUIRED FOR WORK OTHER AN DESCRIBED AB E.