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� � CITYOFORONO * 2016 - 00845 * <br /> ` 2750 KELLEY PARKWAY DATE ISSUED: 08/OU2016 <br /> ORONO,MN 55356- <br /> � (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 333 HOLLANDER RD <br /> PIN : 25-118-23-43-0005 <br /> LEGAL DESC : REG.LAND SURVEY NO. 1281 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATI01�1 : $ 4,000.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> (1)KITCHEN EXHAUST-6"DUCT-300 CFM <br /> (1)BATH EXHAUST-50 CFM <br /> GASLINE TO COOKTOP <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 2.00 <br /> TANNER,JOHN&DONNETTE TOTAL 52.00 <br /> 333 HOLLANDER RD Payment(s) <br /> WAYZATA,MN 55391- CHECK 1144 52.00 <br /> OWNER <br /> TANNER,JOHN&DONNETTE <br /> 333 HOLLANDER RD <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORI�i 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 additiona►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.l'his permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of[he 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 aze <br /> requested in conformance with the State Building Code.'This permit may be <br /> revoked at any time for due cause. <br /> � 1 /� � / � //� <br /> Ap 'cant Permitee Signatuce Date Issued Signature Date <br />