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CITY OF ORONO * 2 0 1 6 - 0 0 7 4 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/08/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 570 BIG ISLAND <br /> PIN : 22-117-23-31-0029 <br /> LEGAL DESC : PLEASANT VIEW LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CO1vSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 19,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> SOLAR PV ARRAY <br /> APPLICANT MECHANICAL 237.50 <br /> STATE SURCHARGE MECH(VALUATION) 9.50 <br /> ABLE ENERGY MAIL-1N FEE 2.00 <br /> 265 MANDVIEW RD <br /> RIVER FALLS,WI 54022- TOTAL 249.00 <br /> (715)621-9335 Payment(s) <br /> CREDIT CARD 8548 249.00 <br /> OWNER <br /> ROBB JR., SELDEN THOMPSON <br /> 5010 MANITOU RD <br /> EXCELSIOR,MN 55331- <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 gran[permission for additional or related work which requires separate <br /> permits. All 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 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 /> —�1-���/�, � S � �' �e l S` , S � ! b <br /> 'Applicant Permitee Signature Date Issued Signature Date <br />