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, , CITY OF ORONO * Z 0 1 5 - 0 1 0 5 Z * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1 U18/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3375 GRAHAM HILL RD <br /> PIIY : OS-117-23-11-0018 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2ND ADDIT[ON <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL- IN GROUND <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 25,000.00 <br /> NOTE: SEPARATE PERMITS REQU[RED: MEHANICAL, ELECTR[CAL(STATE) <br /> IN-GROUND POOL <br /> T�RIOR TO RELEASE OF ESCROW MONEY,AN AS-BUILT SURVEY MUST BE SUBMITTED AND APPROVED. INIT[AL: <br /> APPLICANT PERMIT FEE SCHEDULE 433.67 <br /> PRESTIGE POOLS STATE SURCHARGE(VALUATION) 12.50 <br /> 87 COUNTY ROAD C WEST TOTAL 446.17 <br /> ST. PAUL, MN 55117- Payment(s) <br /> CHECK 17619 446.17 <br /> OW1vER <br /> Wooddale Builders <br /> 6117 BLUE CIRCLE DR, STE 101 <br /> MINNETONKA, MN 55343- <br /> AGREEMENT AIYD SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according[o <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 separa[e <br /> permits. 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 applican[is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at a ir e for due cause. <br /> ��l� � -�� � � � S <br /> ,� i ( I �s 1 <br /> Applicant Permitee Signatur Date [ssued By i ature Date <br />