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CITY OF ORONO II 11 II1111 1111111111 II <br /> * 2 0 1 3 — 0 1 2 6 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 12/03/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 870 WINDJAMMER LA <br /> PIN : 07-117-23-11-0012 <br /> LEGAL DESC : PIRATES COVE <br /> : LOT 008 BLOCK 001 <br /> I'ERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 15,000.00 <br /> NOTE: I GOODMAN NAT GAS FURNACE <br /> I GOODMAN 4 TON AC <br /> 2 GAS FP <br /> I KITCHEN EXHAUST <br /> 4 BATH EXHAUST <br /> APPLICANT MECHANICAL 187.50 <br /> WILLIAM H. GILBERTSON LLC STATE SURCHARGE MECH(VALUATION) 7.50 <br /> 5910 HAWTHORNE RD <br /> MOUND, MN 55364 TOTAL 195.00 <br /> (612)702-3428 <br /> OWNER <br /> Infinity Custom Builders LLC <br /> 3010 BROOKS LANE <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 /> ie <br /> A plicant Permitee Signature Date Issued By Sid ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO . <br />