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' � CITY OF ORONO �� <br /> * 2 0 1 5 - 0 1 2 4 8 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/25/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 965 EDGEWOOD HILLS RD <br /> PIN : 02-117-23-14-0001 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1098 <br /> : LOT 000 BLOCK 000 <br /> PERM�T TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 2,500.00 <br /> NOTE: (1)KITCHEN EXHAUST-900 CFM <br /> ADD(3)SUPPLIES <br /> GASLINE TO FIREPLACE AND KITCHEN RANGE <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 1.25 <br /> SAYLER HEATING&AC MAIL-IN FEE 2.00 <br /> 6800 WEST LAKE ST. <br /> ST. LOUIS PARK, MN 55426- TOTAL 53.25 <br /> (612)702-6622 Payment(s) <br /> CREDIT CARD 3833 53.25 <br /> OWNER <br /> BJORK,ROBERT&BETH <br /> 965 EDGEWOOD HILLS RD <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 approva►s,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 l80 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 , � �� _ '�-e-�:� �! , od�,�5 <br /> Applicant Permitee Signature Date Issued Signature Date <br />