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� � CITY OF ORONO * 2 0 1 3 - 0 1 0 PJ 3 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/26/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : ]06 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0033 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 028 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 3,700.00 <br /> NOTG: QUADRA-WOOD STOVE-2100 MILLENNIUM <br /> APPLICANT MECHANICAL 50.00 <br /> COUNTRYSIDE HEATING& COOLING STATE SURCHARGE MECH (VALUATION) 1.85 <br /> 65l 1 HWY 12 <br /> MAPLE PLAIN, MN 55359 TOTAL 51.85 <br /> (763)479-1600 PAID WITH CC# 9617 <br /> OWNER <br /> JOHNSON, MR. & MRS. <br /> 106 CHEVY CHASE DR <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work fbr which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State[3uilding 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 goveming 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 /> rev ked at any time for due cause. � <br /> � � /.Z(o� / <br /> icant Permitee ign ure Date Issued y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />