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. -• CITY OF ORONO * z 0 1 5 — 0 0 S 1 0 * <br /> r 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2015 <br /> ORONO, MN 55356- • <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1910 SHORELINE DR <br /> PIN : 10-117-23-42-0017 <br /> LEGAL DESC : REG.LAND SURVEY NO.0096 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,200.00 <br /> NOTE: (1)BATH EXHAUST-80 CFM <br /> (1)GASLINE TO FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.00 <br /> GENZ-RYAN PLUMBING&HEAT MAIL-IN FEE 2.00 <br /> 2200 HIGHWAY 13 <br /> BURNSVILLE,MN 55337 TOTAL 53.00 <br /> (952)767-1000 Payment(s) <br /> CHECK 148062 53.00 <br /> OWNER <br /> &HALIMEH MOUSAVINASAB,MAJID FEHRESTI <br /> 1910 SHORELINE DR <br /> WAYZATA,MN 55391- <br /> AGREEME1vT 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 oniy the work described and dces <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 pettnit 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 ail required inspections aze <br /> requested in confortnance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �i`vl�a.c�C. D c 7��%t��tj � ,r�3�� <br /> Applicant Permitee Signature Date Is ed Signature Date <br />