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CITY OF ORONO * 2 0 1 5 - 0 0 3 9 6 * <br /> ' • 2750 KELLEY PARKWAY DATE ISSUED: 04/09/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3460 BIRCH LA <br /> PIN : 08-117-23-43-0027 <br /> LEGAL DESC : LYDIARDS PARK LAKE MTKA <br /> : LOT 019 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 10,300.00 <br /> NOT,E: (1)BRYANT A/C-2 U2 TON <br /> (4)BATH EXHAUST <br /> GASLINE FOR FIREPLACE <br /> APPLICANT MECHANICAL 128.75 <br /> STATE SURCHARGE MECH(VALUATION) 5.15 <br /> WEST METRO MECHANICAL TOTAL 133.90 <br /> 220 FRANKLIN ST Payment(s) <br /> NORWOOD YOUNG AMERICA, MN 55368- CREDIT CARD 8702 133.90 <br /> Minnesota State License#:mech-684939 <br /> OWNER <br /> LISLE, STEVE&ANGELA <br /> 3460 BIRCH LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AIYD 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 gtant permission for addi[ional or related work which requires sepazate <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> C�,�.:J �� � _ ,. .; - f. <br /> �� � �'-��'L.�L_ ��--�- i i <br /> Applicant Permitee Signature Date [ssued ByrSignature Date <br /> :J' <br />