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CITY OF ORONO II111111111 11 11111111 11 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/05/2016 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1380 ORONO LA <br /> PIN : 02-117-23-34-0012 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1350 <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 : $ 25,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: MECHANICAL,ELECTRICAL(STATE) <br /> APPLICANT PERMIT FEE SCHEDULE 433.67 <br /> STATE SURCHARGE(VALUATION) 12.50 <br /> PRESTIGE POOLS TOTAL 446.17 <br /> 87 COUNTY ROAD C WEST Payment(s) <br /> ST.PAUL,MN 55117- CHECK 17892 446.17 <br /> OWNER <br /> Luke Beltnick Revocable Trust <br /> BELTNICK,LUKE&ELENA <br /> 3018 EMERSON AVE S <br /> MINNEAPOLIS,MN 55408- <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 ime for <br /> due use. <br /> /04- ib <br /> 7() S//P <br /> Applicant Permitee Signatur Date Issued By Signature Date <br />