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CITY OF ORONO * z 0 1 2 - 0 PJ 1 6 6 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/Ol/2012 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 4050 BAYSIDE RD <br /> PIN : 06-117-23-11-0004 <br /> LEGAL DESC : POPOV ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : DUCT WORK <br /> VALUATION : $ 600.00 <br /> NOTE: SHEETMETAL ONLY, INSTALL 2 HEAT SUPPLY DUCTS <br /> APPLICANT MECHANICAL 50.00 <br /> HELLAND HEATING STATE SURCHARGE MECH (VALUATION) 030 <br /> 5789 THREE OAKS TOTAL 50.30 <br /> MAPLE PLAIN, MN 55359- <br /> (952)472-1826 PAID W[TH CASH 50.30 <br /> OWNER <br /> STEELE,THAD& DANIELLE <br /> 4050 BAYSIDE RD <br /> MAPLE PLAIN, MN 55359- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I�he 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 /> pennits All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specitied herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days oY the date of issuance,or if construction is <br /> suspended for a period of 180 days at any timc aRer 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 duc causc. � <br /> ( 1 ti % (/ 2U\� ,�,��:_�l C`~/Y'�C ,, �,, `�,� > `� ��-�� <br /> Applicant it ture at � � <br /> / Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />