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� CITY OF ORONO * 2 0 1 3 - PJ 0 6 6 1 * <br /> , 2750 KELLEY PARKWAY DATE ISSUED: 07/17/2013 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1987 FAGF,RNESS POINT RD <br /> PIN : 18-117-23-14-0003 <br /> LEGAL DESC : FAGERNESS <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPF : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTTAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : �, 8,000.00 <br /> NO"CE: 1 f3RYf1N�I'NA"I'GAS PCRNACE <br /> I BRYi1N l 3 I'ON AC. <br /> APPLICANT MECHANICAL 100.00 <br /> RONS MECHANICAI., INC. STATE SURCHARGE MECH (VALUATION) 4.00 <br /> 1812 OLD BRICKYARD RD. <br /> SHAKOPEE, MN 55379 MAIL-IN FEE 2.00 <br /> (� TOTAL 106.00 <br /> OWNER <br /> MILLER, MICHEAL& JUDITH <br /> 1987 FAGERNESS PT RD <br /> WAY7..ATA, MN 55391 <br /> AGREEMEIVT ANU SWORN STATEMENT <br /> l�he Nurk tbr�tihich this permit is issued shall be pertixmed accurdin��to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. �1'his permit is for only the work described and does <br /> not grant permission Yor additional or related work which requires separate <br /> pennits. nll provisions of laws and ordinances goveming 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 contbrmance with th�State E3uilding Code."I'his permit may be <br /> revoked at any time for due cause. <br /> �/(.�J�.�t�l `�►'`- / / / / <br /> Applicant Permitee Signature Date Issued By Si ature Date <br /> SEPARATE PF,RMITS REQUIRED FOR WORK OTHER THAN DESCRIE3ED ABO . <br />