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� ' ' CITY OF ORONO * Z 0 1 6 - 0 0 7 3 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/23/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 4220 CHIPPEWA LA <br /> PIN : 31-118-23-42-0012 <br /> LEGAL DESC : CHIPPEWA 2ND ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 28,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> BRYANTFURNACE <br /> BRYANT A/C <br /> (1)K[TCHEN EXHAUST LESS THAN 300 CFM <br /> (6)BATH EXHAUST <br /> GASLINE TO(3)FIREPLnCES,(1)DRYER,(1)RANGE,AND(1)GARAGE <br /> APPLICANT MECHANICAL 350.00 <br /> STATE SURCHARGE MECH(VALUATION) 14.00 <br /> METRO AIR INC. MAIL-IN FEE 2.00 <br /> 16980 WELCOME AVE SE <br /> PRIOR LAKE, MN 55372 TOTAL 366.00 <br /> (952)447-8124 Payment(s) <br /> CHECK 1211 366.00 <br /> OWNER <br /> DBG, LLC <br /> SCHRODER, SUSAN <br /> 4725 WEST LANE <br /> MINNETRISTA,MN 55364- <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 /> � �-e � l� ��3� /� <br /> Applicant Permitee Si ture Date Issued ignature Date <br />