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� CITY OF ORONO * Z 0 1 6 - PJ 0 4 3 7 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 04/26/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 102 CHEVY CHASE DR <br /> PIN : 36-118-23-41-0031 <br /> LEGAL DESC : HILL O'WAY MANOR <br /> : LOT 026 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUAT[ON : $ 1,250.00 <br /> NOTE: (1)KITCHEN EXHAUST-6"DUCT RECIRCULATING 300 CFM <br /> (2)BATH EXHAUST-80 CFM <br /> GASLINE TO KITCHEN RANGE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.63 <br /> WEST METRO MECHANICAL TOTAL 50.63 <br /> 220 FRANKL[N ST Payment(s) <br /> NORWOOD YOUNG AMERICA,MN 55368- CREDIT CARD 0609 50.63 <br /> Minnesota State License#: mech-684939 <br /> OWNER <br /> YOKIEL, SCOTT&JENNIFER <br /> 102 CHEVY CHASE DR <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 the <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 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 /> C�—� ��-�c'— �-1—�� —I� � -el �z�� /-h <br /> Applicant Permitee Signature Date Issued Signature Date <br />