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, CITY OF ORONO * 2 0 1 6 - PJ 1 0 8 1 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 09/06/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2195 FRENCH LAKE RD <br /> P[lv : 10-117-23-21-0006 <br /> LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 650.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> INSTALL(2)BATH FANS -MAIN LEVEL POWDER ROOM AND MAIN LEVEL KIDS BATHROOM <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.32 <br /> KLEVE&JC MECHANICAL LLC MAIL-IN FEE 2.00 <br /> 12907 PIONEER TR <br /> EDEN PRAIRIE,MN 55347- TOTAL 52.32 <br /> Minnesota State License#: mech-658861 lb PC646240 Payment(s) <br /> 'p g CHECK 13408 52.32 <br /> OWNER <br /> DALTON, MICHAEL&JENNIFER <br /> 2195 FRENCH LAKE RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AIVD SWORN STATEMENT <br /> The work for which this permit is issucd shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State duilding Code. This permit is for only the work described and does <br /> not grant permission for additionai 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 specitied 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 /> � Gj' , lo , J (o <br /> Applicant Permitee ignature Date Issu d y Signature Date <br />