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CITY OF ORONO * Z 0 1 3 - 0 0 9 5 0 * <br /> � <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/13/2013 <br /> ORONO, MN 55356- <br /> " : (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2080 SHORELINE DR <br /> PIN : 15-117-23-21-0006 <br /> LEGAL DESC : HARTWOOD <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DUCT WORK <br /> VALUATION : $ 425.00 <br /> NOTE: EXTEND SUPPLIES TO NEW ADDITON PLUS ADDING ONE <br /> APPLICANT MECHANICAL 50.00 <br /> MILNER MECHANICAL STATE SURCHARGE MECH(VALUATION) 0.21 <br /> TRE T �p �(,�� TOTAL 50.21 <br /> ,MN 56071 <br /> O �Q.�,d� PAID WITH CC# 7498 <br /> OWNER <br /> STALOCH&MICHAEL STEWART,ROBIN <br /> 2080 SHORELINE DR <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �. �� 9i �3i �� 3 i i <br /> Applicant Permitee Signature Date Issue y Si ature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOV . <br />