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CITY OF ORONO <br /> IHT, <br /> 0' 'i 8 - 042 *i'II' I 0 0 1' II <br /> 2750 KELLEY PARKWAY DATE ISSUED: 01/16/2018 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 2625 KELLY AVE <br /> PIN : 20-117-23-14-0026 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 000 BLOCK 005 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 130,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 130,0000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: INDOOR POOL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2018-00043 <br /> APPLICANT ADVANCED PLAN REVIEW 844.30 <br /> TOTAL 844.30 <br /> QUALITY POOLS Payment(s) <br /> 10350 WOODHILL BLVD CREDIT CARD 8503 844.30 <br /> LAKEVILLE,MN 55044 <br /> (612)985-7665 <br /> OWNER <br /> ELLEN REDMOND REVOC TRUST <br /> 2625 KELLY AVE <br /> EXCELSIOR,MN 55331- <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 any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />