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CITY OF ORONO PERMIT NO.: 20��-0��2� <br /> � • 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �SsuEn: 09/27/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3380 GRAHAM HILL RD <br /> PIN : OS-117-23-11-0013 <br /> LEGAL DESC : GRAHAM HILL PRESERVE 2 <br /> : LOT 5 BLOCK 2 <br /> PERMIT TYPE : ADVANCED PLAN REVIEW <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ADVANCED PLAN REVIEW <br /> VALUATION : $ 40,000.00 <br /> APPLICANT ADVANCED PLAN REVIEW 373.26 <br /> DOLPHIN POOL& SPA, INC. TOTAL 373.26 <br /> 3405 N HWY 169 <br /> PLYMOUTH, MN 55441- <br /> (612)542-9000 <br /> Minnesota State License#: 20266452 <br /> OWNER <br /> RUDOW, DAVID& LESLIE <br /> 3380 GRAHAM H(LL RD <br /> ORONO, 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 E3uilding 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 compicd with whether or not specitied hcrcin.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days oP the date of issuance,or if construction is <br /> suspcnded for a period of 180 days at any°time atter work has commenced. <br /> "I�he 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 caus . n <br /> � � ,� '' /l.� <br /> � ��� �-�L-�/ ` -� ���-� (��'YY1-�C�r 1 � Q�-� 7 -� / <br /> Applicant Permitee Si ature Date Issued By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCR[BED ABOVE. <br />