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� CITY OF ORONO � Z 0 1 7 - 0 1 3 7 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/24/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2500 SHADYWOOD RD <br /> PIIv : 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 : $ 35,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED: ELECTRICAL(STATE) <br /> DUCTWORK FOR LOWER LEVEL SOUTH#700 <br /> DUCTWORK FOR SUITE#400 <br /> APPLICANT MECHANICAL 437.50 <br /> STATE SURCHARGE MECH(VALUATION) 17.50 <br /> AIR QUALITY SERVICES IN. TOTAL 455.00 <br /> 7900 EXCELSIOR BLVD <br /> SUITE#750 Payment(s) <br /> HOPKINS,MN 55343- CREDIT CARD 3185 455.00 <br /> (952)401-3838 <br /> Minnesota State License#:mech-MB003119 <br /> OWNER <br /> Ugorets 8098 LLC <br /> 410 11TH AVE S <br /> HOPKINS,MN 55343- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this pertnit 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 afrer 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 /> . � �� , /v �5� �7 <br /> d t,t.,.d � � � � � <br /> Applicant Perm ee Signature Date [ssued B ignature Date <br />