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CITY OF ORONO * Z 0 1 3 - 0 P! 7 0 5 * <br /> "' 2750 KELLEY PARKWAY DATE ISSUED: 07/23/2013 <br /> ORONO, MN 55356- <br /> • (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 250 RUANN RD <br /> PIN : 36-118-23-32-0002 <br /> LEGAL DESC : UNPLATTED 36 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> NOTE: DUCTWORK IN LIVING ROOM <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> FLARE HEATING&AIR COND STATE SURCHARGE MECH(<$500) 5.00 <br /> 9309 PLYMOUTH AVE N <br /> SUITE 104 MAIL-IN FEE 2.00 <br /> GOLDEN VALLEY,MN 55427 TOTAL 22.00 <br /> (763)542-1166 <br /> OWNER <br /> OLSON,THOMAS&MARADITH <br /> 250 RUANN RD <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 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 applicant is responsible for assuring all required inspections are <br /> requested in conformance wit�the State Building Code.This permit may be <br /> revoked at any time fo�due cause. <br /> ��%�, � , n ��" / / / / <br /> 'V��..� <br /> Applicant Permitee Signature Date Issued By S' ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB U <br />