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CITY OF ORONO * 2 m 1 5 - 0 0 5 6 4 * <br /> ' ' 2750 KELLEY PARKWAY DATE ISSUED: 10/07/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 517 FERNDALE RD N <br /> PIN : 36-118-23-14-0007 <br /> LEGAL DESC : LJNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL-IN GROUND <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 15,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL,ELECTRICAL(STATE) <br /> IN GROUND POOL <br /> NOTE: PRIOR TO RELEASE OF ESCROW MONEY,AN AS-BUILT SURVEY MUST BE SUBMITTED&APPROVED. INITIAL: <br /> APPLICANT PERMIT FEE SCHEDULE 278.81 <br /> STATE SURCHARGE(VALUATION) 7.50 <br /> PERFORMANCE POOL&SPA TOTAL 286.31 <br /> 2405 ANNAPOLIS Payment(s) <br /> PLYMOUTH,MN 55441- CHECK 1412 28631 <br /> (651)731-3940 <br /> OWNER <br /> ANDERSEN,STEVEN&STACIA <br /> 517 FERNDALE RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND 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. 1'his pertnit is for only the work described and dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. 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 suthorized 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 assuring all required inspections are <br /> requested in conformance with the Stste Building Code.This permit may be <br /> revok d at for due cause. � <br /> � U ���5 �� � Ja � 7 �� <br /> Applicant Permitee Signa Date Issued y Signature Date <br />