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, CITY OF ORONO * Z 0 1 7 - 0 0 1 5 5 * <br /> 2750 KELLEY PARKWAY uATE [SSUED: 03/16/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3188 NORTH SHORE DR <br /> PIN : 09-117-23-32-0011 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 004 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PRpPERTY TYPE : RESIDENTIAL � �>(� �->;. > <'-'/=� <br /> �c�-�f���Y� _�-' t f�� '�.:�"'-t , ,rr' c �,. /. .r ' _� <br /> CONSTRUCT�N TYPE : POOL-IN GROUND <br /> VALUATION : $ 30,000.00 <br /> NOTE: SEPARATE INSPECTIONS REQUIRED: MECHAN[CAL,ELECTRICAL(STATE) <br /> IN-GROUND POOL <br /> APPLICANT PERMIT FEE SCHEDULE 490.12 <br /> PERFORMANCE POOL& SPA PLAN REVIEW 137.38 <br /> 2405 ANNAPOLIS STATE SURCHARGE(VALUATION) 15.00 <br /> PLYMOUTH, MN 55441- TOTAL 642.50 <br /> (763)270-1180 Payment(s) <br /> CHECK 1576 642.50 <br /> OWNER <br /> RUCINSKI, MICHEAL&HOLLY <br /> 3188 NORTH SHORE DR <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 [he <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 specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within I80 days of the date of issuance,or if construction is <br /> suspended for a period of l80 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 /> revok d at an t for due cause. <br /> �1�� (/ i�-/ � � � � <br /> plic ermitee Signa r � Date Issued Signature Date <br />