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, CITY OF ORONO * 2 0 1 5 - 0 0 2 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/12/2015 <br /> ORONO, MN 55356- <br /> (952 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 2345 BLAINE AVE <br /> PIN : 17-117-23-34-0011 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 005 BLOCK 009 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : COMMERCIAL-BUSINESS <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 10,500.00 <br /> NOTE: MECHANICAL DEMOLITION&REPLACEMENT <br /> A)REMOVE EXST'G DEHUMIDIFER ALONG WITH ALL CONNECTED DUCTWORK,PIPLING AND CONTROLS <br /> B)REMOVE EXST'G ROOF MOUNTED INTAKE HOOD,MOTORIZED DAMPEER AND CONNECTED DUCTWORK,SEE NEW PLAN FOR <br /> REPLACEMENT <br /> C)REMOVE EXSTG POWERED WALL VENTILATOR,M.O. DAMPER AND DUCTWORK. SEE NEW PLAN FOR REPLACEMENT <br /> APPL[CANT MECHANICAL 131.25 <br /> STATE SURCHARGE MECH(VALUATION) 5.25 <br /> BOSTROM SHEET METAL WORKS MAIL-IN FEE 2.00 <br /> 110 SYCAMORE ST W <br /> ST PAUL, MN 55117- TOTAL 138.50 <br /> (651)646-7475 Payment(s) <br /> Minnesota State License#: mech-MB003332 CHECK 16951 138.50 <br /> OWNER <br /> (WELL NO. 3 PUMPHOUSE),CITY OF ORONO <br /> 2345 BLAINE AVE <br /> PO BOX 66 <br /> CRYSTAL BAY,MN 55323- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which[his 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 /> no[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 cons[ruction 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 permi[may be <br /> revoked at any time for due cause. <br /> ` �� � /�� , �Z /5 <br /> �,�Gl,� ( �'i�-- � � �u;v� � � � <br /> Applicant Permitee Signature Date Issued By Signature Date <br />