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CITY OF ORONOTil !1 III I ;1 1.1 11 <br /> 2750 KELLEY PARKWAY * 2 1 4 - 0 0 5 0 <br /> DATE ISSUED: 06/06/2014 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 840 OLD CRYSTAL BAY RD S <br /> PIN : 09-117-23-12-0002 <br /> LEGAL DESC : UNPLATTED 09 117 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : ACCESSORY STRUCTURE <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : POOL-IN GROUND <br /> ACTIVITY : 329-STRUCTURES OTHER THAN BUILDINGS <br /> VALUATION : $ 45,000.00 <br /> NOTE: ADDITIONAL PERMITS NEEDED:MECHANICAL&ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 628.00 <br /> ATLANTIS POOLS STATE SURCHARGE(VALUATION) 22.50 <br /> 4321 68TH AVE N TOTAL 650.50 <br /> BROOKLYN CENTER,MN 55429 Payment(s) <br /> (763)560-0103 CHECK 2079 650.50 <br /> OWNER <br /> HEIZMAN-WILLIAMS,JAMES WILLIMAS&HEIDI <br /> 840 OLD CRYSTAL BAY RD S <br /> WAYZATA,MN 55391- <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 with the State Building Code.This permit may be <br /> revoked at any time <br /> Applic. t Permitee Signature Date Issue By S ature ile1,( Date <br />