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CITY OF ORONO * Z 0 1 6 - 0 1 0 3 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 08/25/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 920 FOREST ARMS LA <br /> PIN : 07-117-23-12-0017 <br /> LEGAL DESC : FOREST ARMS COUNTRY CLUB ADDN <br /> : LOT 001 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 638.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECT[ON. <br /> NEW:VENTED RANGE HOOD <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.31 <br /> RON'S MECHANICAL, INC. MAIL-IN FEE 2.00 <br /> 2026 COLBURN DR1VE <br /> SHAKOPEE,MN 55379 TOTAL 52.31 <br /> (952)445-8585 Payment(s) <br /> Minnesota State License#:mech-MB003231 CHECK 13539 52.31 <br /> OWNER <br /> MEAKINS, ROGER&THERESA <br /> 920 FOREST ARMS LA <br /> MOUND, 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 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 /> ` ` � � � \ Ll' <br /> � � ,�. � <br /> L U\�,� �h �� �U�=t ��-�'c�-�1 �����-�1� � i � l�r- <br /> Applicant Permitee Signature Date Issued By Signature Date <br />