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' - CITY OF ORONO * z 0 1 5 - 0 0 3 7 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/02/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: 952) 249-4616 <br /> ADDRESS : 2470 COBBLESTONE CT <br /> p�� : 33-118-23-11-0080 <br /> LEGAL DESC : STONEBAY SIXTH ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 825.00 <br /> NOTG: VGN"I'[LATION-FAN [N EXERC[SE ROOM <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.41 <br /> PRACTICAL SYSTEMS MAIL-IN FEE 2.00 <br /> 4342B SHADY OAK RD TOTAL 52A1 <br /> HOPKINS, MN 55343 <br /> (952)933-1868 Payment(s) <br /> CREDIT CARD 5815 52.41 <br /> OWNER <br /> RICHARDS,PAUL&DIANE <br /> 2470 COBBLESTONE CT <br /> LONG LAKE, MN 55356- <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 thc <br /> State Building Codc. This permit is for only[he work described and does <br /> no[grant permission for additional or rcla[ed 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 permi[will <br /> expire and become null and void if construc[ion 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 /> reques[ed in conformance with[he State E3uilding Code.This permii may be <br /> revoked at any time for due cause. <br /> � � � � <br /> npplicant Permitee Signature Date Issue y Signature Date <br />