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' CITY OF ORONO * 2 0 1 3 - P1 0 2 4 8 * <br /> 2750 KELLEY PARKWAY DATE [SSUED: 04/16/2013 <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 : $ 8,500.00 <br /> NOTE: (1)PEERLESS PUREFIRE MODULATING BOILER <br /> MOVE DRYER VENT <br /> MOVE COMBINATION AIR <br /> ADD 180 SQ. FT IN FLOOR AND RELOCATE 1 A/C HEAD <br /> APPLICANT MECHANICAL 106.25 <br /> METRO AIR INC. STATE SURCHARGE MECH(VALUATION) 425 <br /> 16980 WELCOME AVE SE <br /> PRIOR LAKE, MN 55372 TOTAL 110.50 <br /> (952)447-8124 <br /> OWNER <br /> LISLE, STEVE&ANGELA <br /> 3460 BIRCH LA <br /> WAYZATA,MN 55391- <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 Ihe <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. 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 afrer 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 a[any[ime for due cause. <br /> r a��'�;Y.�J '����:,r �� l I� l IS /��� <br /> Applicant Permitee Signature Date <br /> Issu y Signa re Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />