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, <br /> CITY OF ORONO * 2 0 1 4 - 0 1 3 0 2 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 1U06/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1675 CONCORDIA ST <br /> PIN : 17-117-23-22-0043 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1628 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHAN[CAL(<$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURE <br /> NOTF.: KITCHGN EXHAUST <br /> APPLICANT MECHANICAL(<$500) 15.00 <br /> ZAHLER HEATING&A/C STATE SURCHARGE MECH(<$500) 5.00 <br /> 6429 W218TH STREET TOTAL 20.00 <br /> JORDAN, MN 55352- Payment(s) <br /> (952)492-5558 C��1ECK 3749 20.00 <br /> Minnesota State License#: mech-MB004790 <br /> OWNER <br /> TRAINOR, HELEN <br /> 1675 CONCORDIA ST <br /> WAYZATA, MN 55391 <br /> AGREEMENT AND SWORN STATEMENT <br /> T'he work for which this pern�it is issued shall be perfornied according to <br /> die approved plans and specifications,applicable City approvals,and the <br /> State E3uilding 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 I 80 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Z � - � - � � <br /> A plic t Pe i ee Signature Date Issued By Signature Date <br />