2012-00451 - adv plan review - pool

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CITY OF OR01�10 * 2 0 1 z -� 4� 2750 KELLEY PARKWAY DATE ISSUED: OS/24/2012 ORONO, MN 55356- 952 249-4600 FAX: 952 249-4616 ADDREeS : 4355 CHIPPEWA LA PIN � : 31-118-23-42-0020 LEGAL DESC : N/A : LOT 000 BLOCK 000 PERMIT TYPE : ADVANCED PLAN REVIEW PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADVANCED PLAN REV[EW VALUATION : $ 24,500.00 NOTE: PLEASE FILL IN THE FOLLOWING: VALUATION OF PERMIT: $ 24,500 TYPE OF PERMIT THIS PAYMENT IS FOR: INGROUND POOL PERMIT#THIS PRE-PAYMENT IS TIED TO: 2012-00451 APPLICANT ADVANCED PLAN REV[EW 268.45 JMS HOMES INC. TOTAL 268.45 80 W 78TH ST-#133 CHANHASSEN, MN 55317 PAID WITH CC# 9064 (952)949-3630 Minnesota State License#: 1913 OWNER YOUNG,JOHN&LYNN 4355 CHIPPEWA LA MAPLE PLAIN, MN 55359- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according[o the approved plans and specifications,applicable City approvals,and the State Building Code. This permi[is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time afrer work has commenced. The applicant is responsible for assuring all required inspections are requested in conformance with the State Building Code.This permit may be revok any time for due cause. ,� ��' _ ,S i� i � `��_� i 1�� 'l � .` � � " _ A ica Permi Signature Date Issued By Signature Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.