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a CITY OF ORONO PERMIT NO.: 2010-00238 <br /> ' 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE Iss[1ED: 04/19/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2775 COUNTRYSIDE DR W <br /> PIN : 04-117-23-12-0016 <br /> LEGAL DESC : OLD CRYSTAL BAY ROAD ADDN <br /> : LOT 001 BLOCK 003 ;�; �,`,f <br /> PERMIT TYPE : ADVANCED PLAN REVIEW _�}�. M:: <br /> PROPERTY TYPE : RESIDENTIAL ry� j�,, <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATIOI�i : $ 60,000.00 <br /> NOTE: PLEASE F[LI,IN THE FOLLOWING: :s.kl��} <br /> ,i�; <br /> VALUATION OF PERMI"I':$ 60000.00 , <br /> "fYPE OF PERMIT THIS PAYMENT IS FOR: BUILDING PERM[T FOR POOL <br /> PERMIT#'1'1llS PRE-PAYMENT IS'I'IED TO:2010-00239 � __.. <br /> ��, f�: �+�;1 ,�.. <br /> ;,t: <br /> �:r+ U�rcr�r <br /> ;��,r>xer: '�' <br /> - ;�r:�• <br /> APPLICANT ADVANCED PLAN REVIEW 491.89 <br /> MINNESOTA POOLS, [NC. TOTAL 491.89 <br /> 3405 NORTH HIGHWAY 169 <br /> PLYMOUTH, MN 55441- <br /> (763)542-9000 <br /> Minnesota State License#: BC-2026645 <br /> OWNER <br /> MURLEY, TODD&MARY <br /> 2755 COUNTRYSIDE DR W <br /> LONG LAKE, MN 55356 ', <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 'l�his permit is for only the work described and does <br /> not gran[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 specitied 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 constmction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> I'he applicant is responsible for assuring all required inspections are <br /> requested in confor ance ilh the State Building Code.�This permit may be <br /> revoked a�any � r due e! <br /> � `—^ l l�i l/U � l l <br /> Applicant Per ee ignature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB <br />