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.. CITY OF ORONO * Z 0 1 6 - 0 0 Z 3 9 * <br /> • 2750 KELLEY PARKWAY DATE ISSUED: 03/14/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2565 DUNWOODY AVE <br /> PIN : 20-117-23-21-0031 <br /> LEGAL DESC : TOWNSITE OF LANGDON PARK <br /> : LOT 000 BLOCK 008 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 1,200.00 <br /> NOTE: l KITCHEN EXHAUST&GAS LINES: 1 FIREPLACE-MAIN LEVEL, 1 FIREPLACE-BASEMENT,&RECONNECT NEW STOVE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.60 <br /> AMERICAN AIR SUPPLY,INC. TOTAL 50.60 <br /> 11257 207TH AVE NW Payment(s) <br /> ELK RIVER, MN 55330 CREDIT CARD 2353 50.60 <br /> (612)282-7568 <br /> Minnesota State License#:mech-MB003497 <br /> OW NER <br /> RUCINSKO,MICHAEL&MARY <br /> 2565 DUNWOODY AVE <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. , f/�G� � <br /> � �'� �—t�,-- /� �=��='1 ��.�.� � S C, =� �/�� � �c`' <br /> Ap nt Permitee Signature Date Issued By Signature Date <br />