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CITY OF ORONO * 2 pJ 1 4 - 0 0 3 9 3 * <br /> ' 2750 KELLEY PARKWAY DATE ISSUED: OS/OS/2014 <br /> , ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2685 COPPER VIEW DR <br /> PIN : 33-118-23-43-0018 <br /> LEGAL DESC : ROSCH ADDN <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 2,000.00 <br /> NO"I'E: I KI"I'CHGN EXHAUS"1� <br /> MOVING SUPPLIL-;S AND RFiT�URNS TO DIFFEREN'T LOCATIONS <br /> 1 GAS LING TO STOVE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH (VALUATION) 1.00 <br /> C,EWIS HEATING AND AIR TOTAL S1.00 <br /> 1371 144TH STREET <br /> NEW RICHMOND, WI 54017- Payment(s) <br /> (612)940-4565 CREDIT CARD 5225 51.00 <br /> Minnesota State License #: mech-PC671215 <br /> OWNER <br /> TURKBAS, MR.& MRS. JAY <br /> 2685 COPPER VIEW DR <br /> LONG LAKE, MN 55356 <br /> AGREEMENT AND SWORN STATEMENT <br /> I�he work for which this permit is issucd shall be performed according to <br /> the approved plans and specif�ications,applicable City approvals.and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission tor additional or related work which requires separ�tc <br /> permits. All provisions of laws and ordinances governing this t��pe of���ork <br /> shall be compied with whether or not specitied herein.This permit���ill <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date oY issuance,or if construction is <br /> suspended for�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 /> ��-� � , ���—� --_____. <br /> _–�(�' l/� / / <br /> Applicant Permitee Signature Date Issued gnaturc �(� Date <br /> / X� <br />