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CITY OF ORONO 11 11 II 1 1 1I 1 11 1111 1 <br /> * 2017 - 00714 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/29/2017 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 820 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-43-0008 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.229 <br /> : LOT 027 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 : $ 32,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL,ELECTRICAL(STATE) <br /> IN-GROUND POOL <br /> APPLICANT PERMIT FEE SCHEDULE 512.70 <br /> STATE SURCHARGE(VALUATION) 16.00 <br /> OUTDOOR EXCAPES,INC. TOTAL 528.70 <br /> 2345 DANIELS STREET <br /> LONG LAKE,MN 55356- Payment(s) <br /> (952)926-6899 CHECK 18560 528.70 <br /> Minnesota State License#: BUIL-20630819 <br /> OWNER <br /> FREES,KEATON&HANS <br /> 820 OLD CRYSTAL BAY RD S <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 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 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 State Building Code.This permit may be <br /> revoked at '44iimhz <br /> cause. <br /> Ilrs -2_1?-- 17 g <br /> ( C-te-5-0 3 /7,1 , 1'7 <br /> Applic., _ _'a ature Date Issued Signature Date <br />