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CITY OF ORONO I [111 I# I I 11 <br /> * 20 1 6 - 0070 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/21/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 25 ORONO ORCHARD RD N <br /> PIN : 35-118-23-33-0004 <br /> LEGAL DESC : UNPLATTED 35 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION�� TYPE : POOL-IN GROUND <br /> S UAT3 <br /> VALUATION : $ 52,000.00 <br /> NOTE: SEPARATE PERMIT REQUIRED: MECHANICAL,ELECTRICAL(STATE) <br /> POOL,1ZPA COL! a Tri C EAT PO CHT <br /> (9f(Qi(J Suwitif rcpla.u.d <br /> 19,1 v-1,-(4/ SurV C <br /> APPLICANT PERMIT FEE SCHEDULE 731.68 <br /> ATLANTIS POOLS STATE SURCHARGE(VALUATION) 26.00 <br /> 4321 68TH AVE N TOTAL 757.68 <br /> BROOKLYN CENTER,MN'55429 Payment(s) <br /> (763)560-0103 CHECK 2338 757.68 <br /> OWNER <br /> BENEDICT,MICHAEL&DEBORAH <br /> 25 ORONO ORCHARD RD]•1 <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specification;,applicable City approvals,and the <br /> State Building Code. This permit is;or only the work described and does <br /> not grant permission for additional related work which requires separate <br /> permits. All provisions of laws and drdinances 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 c nstruction authorized is not <br /> commenced within 180 days of the dte of issuance,or if construction is <br /> suspended or a period of 180 days at any time after work has commenced. <br /> The applic t is ponsible for assu 'ng all required inspections are <br /> requested con , ance with the Sl to Building Code.This permit may be <br /> revoked a . tit,; or due cause. <br /> Applicant Pe �itee Signature Date Issued B : , ature Date <br /> PP � �► Y�• <br />