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� � <br /> CITY OF ORONO PERMIT NO.: 2011-00523 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE �ssuE�: 06/27/20ll <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1 180 HERITAGE LA <br /> PIN : 10-117-23-13-0002 <br /> LEGAL DESC : FOXHILL <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : MECHAN[CAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 1,000.00 <br /> NOTE: GASL[NE TO KITCHEN STOVE <br /> (1)KITCE IEN EXHAUST-6"DUCT-300 CFM <br /> (1)BATH EXHAUST-75 CPM <br /> APPLICANT MECHANICAL 50.00 <br /> LEWIS HEATING AND AIR STATE SURCHARGE MECH(VALUATION) 0.50 <br /> 1371 144TH STREET TOTAL 50.50 <br /> NEW RICHMOND, WI 54017- <br /> (612)940-4565 PAID WITH CC# 4454 <br /> OWIYER <br /> ZIEGLER& KELLY RISCHE, DAVID <br /> 1180 HERITAGE LA <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORfY STATEMENT <br /> l'he 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 separa[e <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 no[ <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 causc. <br /> + J�n��l;.,,�u.-= l i �j/d�7/ <br /> pplicant Permrtee Signature Date I d By Signature Date <br /> SEPARATE PERMITS REQU[RED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />