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� • CITY OF ORONO * z 0 1 z - 0 0 7 1 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/25/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4265 CHIPPEWA LA <br /> PIN : 31-118-23-42-0019 <br /> LEGAL DESC : UNPLATTED <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> NOTE: (1)KITCHEN EXHAUST-300 CFM <br /> RELOCATE GASLINE FOR RANGE <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> HIGH ROAD HEATING&COOLING CO STATE SURCHARGE MECH(<$500) 5.00 <br /> 6650 WINDF[ELD CIRCLE N <br /> ROCKFORD, MN 55373- TOTAL 20.00 <br /> (763)477-3331 <br /> OWNER <br /> MCCAFFREY, THOMAS& KATHLEEN <br /> 4265 CH[PPEWA LA <br /> MAPLE PLAIN, MN 55359- <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. AII provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permi[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[ime 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 /> .. . : =�' ���� �,S � �I � �� <br /> Applicant Permitee ignature Date ssue y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />