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CITY OF ORONO * z 0 1 7 - 0 0 4 1 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: OS/03/2017 <br /> �, "' ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIN : 20-117-23-11-0034 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1630 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : DUCT WORK <br /> VALUATION : $ 2,500.00 <br /> NOTE: DUCTWORK FOR BUILDOUT OF SUITE#100 <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.25 <br /> AIR QUALITY SERVICES IN. TOTAL 51.25 <br /> 7900 EXCELSIOR BLVD Payment(s) <br /> SUITE#750 CREDIT CARD 7316 51.25 <br /> HOPKINS, MN 55343- <br /> (952)401-3838 <br /> Minnesota State License#:mech-MB003119 <br /> OWNER <br /> Ugorets 8098 LLC <br /> 410 1 1TH AVE S <br /> HOPKINS,MN 55343- <br /> AGREEMENT AND SWORIv 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 for due cause. ���'� <br /> ) <br /> _._,_� / <br /> fJ� �J�..�� ��'3...,/� ',�L;.Li;`.� ..1. ��_-t.,�.�L�� r) / .."� �� � <br /> 7 „b � <br /> App7icant Permitee Signature Date Issued By Signature Date <br />