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CITY OF ORONO PERMIT NO.: 2011-01425 <br /> 2750 KELLEY PARKWAY <br /> ORONO,MN 55356- DATE ISSUED: 11/09/2011 <br /> 4L (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS 315 TONKAWA RD <br /> PIN 06-117-23-14-0021 <br /> LEGAL DESC REG.LAND SURVEY NO.0540 <br /> LOT 000 BLOCK 000 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 1,280.00 <br /> NOTE: REVISE DUCTWORK FOR NEW MASTER CLOSET <br /> APPLICANT MECHANICAL 50.00 <br /> SELECT MECHANICAL SERVICES INC. STATE SURCHARGE MECH(VALUATION) 0.64 <br /> 6219 CAMBRIDGE ST <br /> ST.LOUIS PARK,MN 55416- MAIL-IN FEE 6.36 <br /> (952)926-4488 TOTAL 57.00 <br /> OWNER <br /> Waycrosse,Inc. <br /> MACMILLAN,MARTHA E <br /> 15407 MCGINTRY RD W <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 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 /> "A— <br /> Applicant <br /> Y <br /> ' A <br /> " l l <br /> Applicant Permitee Signature Date <br /> Issued By S' ture ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED AB E. <br />