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CITY OF ORONO * 2 0 1 7 - 0 0 6 6 8 * <br /> . � 2750 KELLEY PARKWAY DATE ISSUED: 07/05/2017 <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 /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL HOUSE <br /> ACTIVITY : 649-ALL OTHER BUILDING&STRUCTURES <br /> VALUATION : $ 16,500.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL,ELECTRCAL(STATE) <br /> POOL HOUSE <br /> APPLICANT PERMIT FEE SCHEDULE 309.75 <br /> RUCINSKI,MICHEAL&HOLLY STATE SURCHARGE(VALUATION) 8.25 <br /> 3188 NORTH SHORE DR TOTAL 318.00 <br /> WAYZATA,MN 55391- Payment(s) <br /> CHECK 5071 318.00 <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 the <br /> State Building Code. This permi[is for onty the work described and dces <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 180 days of the date of issuance,or if construction is <br /> suspended for a 0 days at any time aRer work has commenced. <br /> The applicant is esponsible as ring all required inspections are <br /> requested in con rmance with tate Building Code.1'his permit may be <br /> revoked at any tim for due cau . <br /> � 7 5 �7 � �v � <br /> e ite Signature ate ssued Signature Date <br />