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CITY OF ORONO PERMIT NO.: 2011-00447 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUEn: 06/10/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2940 FOX ST <br /> PIN : 04-117-23-31-0017 <br /> LEGAL DESC : STUBBS FARM <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 35,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 35000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: POOL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2011-00448 <br /> APPLICANT ADVANCED PLAN REVIEW 338.33 <br /> ATLANTIS POOLS TOTAL 338.33 <br /> 4321 68TH AVE N <br /> BROOKLYN CENTER,MN 55429 PAID WITH CC# 7955 <br /> (763)560-0103 <br /> OWNER <br /> MEINS,DAVID&VALERIE <br /> 2940 FOX ST <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 specifications,applicable Ciry 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 /> pertnits. 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 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 any time for due cause. <br /> / / / / <br /> _Applicant Permitee Signature Date Issued B ignature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB . <br />