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� CITY OF ORONO * 2 0 1 5 - 0 PJ 5 7 4 * <br /> , * 2750 KELLEY PARKWAY DATE ISSUED: OS/1 U2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2696 CAROLINE AVE <br /> p�N : 20-117-23-24-0034 <br /> LEGAL DESC : WESSELS SUBD OF SPRING PARK LO <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTTON TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 1,150.00 <br /> NOTE: 1 KITCHEN EXHAUST,GAS LINE TO RANGE&GAS LINE TO FIREPLACE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.98 <br /> GENZ-RYAN PLUMBING&HEAT MAIL-IN FEE 2.00 <br /> 2200 HIGHWAY 13 <br /> BURNSVILLE,MN 55337 TOTAL 52.98 <br /> (952)767-1000 Payment(s) <br /> CHECK 147420 52.98 <br /> OW1vER <br /> MILLER,CHARLES&JILL <br /> 2696 CAROLINE AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The wark for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> 5tate 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 whe[her 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 /> � �� <br /> � ��/� �o�,� � l.-Lt�-�-�'�`'' � , , � , �s <br /> Applicant Permitee Signat re Date Issued By ignature Date <br />