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CITY OF ORONO III 1-III III. II II 11111111111 <br /> * <br /> 2750 KELLEY PARKWAY * 20 1 6 - 0 0 7 2 2 <br /> DATE ISSUED: 06/17/2016 <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 : I NPLATTED 35 118 23 <br /> OT 000 BLOCK 000 <br /> PERMIT TYPE VANCED PLAN REVIEW <br /> PROPERTY TYPE SIDENTIAL <br /> CONSTRUCTION TYPE : itDVANCED PLAN REVIEW <br /> VALUATION $ 52,000.00 <br /> NOTE: PLEASE FILL IN THE FOLLOWING: <br /> VALUATION OF PERMIT:$ 52,000.00 <br /> TYPE OF PERMIT THIS PAYMENT IS FOR: IN GROUND POOL <br /> PERMIT#THIS PRE-PAYMENT IS TIED TO:2016-00701 <br /> APPLICANT ADVANCED PLAN REVIEW 475.59 <br /> TOTAL 475.59 <br /> ATLANTIS POOLS <br /> 4321 68TH AVE N Payment(s) <br /> BROOKLYN CENTER,MN 55429 CHECK 2324 475.59 <br /> (763)560-0103 <br /> OWNER <br /> BENEDICT,MICHAEL&DEBORAH <br /> 25 ORONO ORCHARD RD N <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 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 wi i e State Building Code.This permit may be <br /> revoked at any tim ; .u- •use. n <br /> fr? <br /> z L� ` n /C`\_ ��� (o / / j / <br /> Applicant Permitee : 777. l ate Issued By Signature Date <br />