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� � � CITY OF ORONO * 2 0 1 3 - 0 0 8 0 z * <br /> `. � 2750 KELLEY PARKWAY DATE ISSUED: 08/15/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3515 SIXTH AVE N <br /> PIN : 29-118-23-43-0002 <br /> LEGAL DESC : LINPLATTED 29 118 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 2,594.00 <br /> NOTE: 1 BATH EXHAUST <br /> REWORK/RUN NEW SUPPLIES AND RETURNS TO NEW SPACES:2 BEDROOMS, 1 CLOSET, 1 BATH,DINETTE <br /> APPLICANT MECHANICAL 50.00 <br /> HORIZON CONTRACTORS, INC. STATE SURCHARGE MECH(VALUATION) 1.30 <br /> 8197 HORIZON DR TOTAL 51.30 <br /> SHAKOPEE, MN 55379 <br /> (612)508-9226 <br /> OWNER <br /> PETERSON,DALE&DIANE <br /> 3515 SIXTH AVE N <br /> LONG LAKE,MN 55356- <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 dces <br /> not grant permission for additional or related work which requires sepazate <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 1 da of the date of issuance,or if construction is <br /> suspended for a p '80 days at any time after work has commenced. <br /> The applicant i able for assuring all required inspections are <br /> requested in c o ce wiYh the State Building Code.This permit may be <br /> revoked at ti "e cause. <br /> � S�� �� i i <br /> Ap lic itee Signature Date Issue B ignature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTH THAN DESCRIBED ABO . <br />