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� = CITY OF ORONO PERMIT NO.: 2010-00619 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- �ATE Iss[1En: 07/26/2010 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 195 BROWN RD S <br /> PIN : 03-117-23-21-0022 <br /> LEGAL DESC : KROGS ACRES <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 625.00 <br /> NOTE: (1)KITCHEN EXHAUST-6"DUCT RECIRCULATING 300 CFM <br /> GAS HOOK-UP FOR STOVE-GASLINE IS EXISTING <br /> APPLICANT MECHANICAL 50.00 <br /> PRACT(CAL SYSTEMS STATE SURCHARGE MECH(VALUATION) 5.00 <br /> 4342 B SHADY OAK RD <br /> HOPKINS,MN 55343 MAIL-IN FEE 2.00 <br /> (952)933-1868 TOTAL 57.00 <br /> PAID WITH CC# 7222 <br /> OWNER <br /> ELDER,JAMES& BARBARA <br /> 195 BROWN RD S <br /> LONG LAKE, MN 55356- <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 ar reiated 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 usuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoke .at any t�me for due ca e. <br /> ���J 7i ��Pi /L� i�.� U <br /> Applicant Permitee Signature Date Issued Signature Date � <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />