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r � <br /> CITY OF ORONO * 2 0 1 6 - 0 0 6 7 2 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/13/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2195 FRENCH LAKE RD <br /> PIIY : 10-117-23-21-0006 <br /> LEGAL DESC : JOHNSTONS FRENCH LAKE 2ND ADDN <br /> : LOT 001 BLOCK 003 <br /> PERMIT TYPE : MECHAN[CAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 1,800.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> MOVE(1)SUPPLY FROM WALL TO FLOOR IN MUD ROOM <br /> BATH EXAUST 150 CFM <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.90 <br /> KLEVE&JC MECHANICAL LLC MAIL-IN FEE 2.00 <br /> 12907 PIONEER TR <br /> EDEN PRAIRIE, MN 55347- TOTAL 52.90 <br /> Minnesota State License#:mech-658861,p1bg-PC646240 Payment(s) <br /> CHECK 13298 52.90 <br /> OWNER <br /> DALTON, MICHAEL&JENNIFER <br /> 2195 FRENCH LAKE RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according ro <br /> the approved plans and specifications,applicable Ciry 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 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 /> . i <br /> i � <br /> � � � � �--/--� / �.�i /� <br /> Applicant Permitee Signature Date Issued Signature Date <br />