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{ <br /> CITY OF ORONO * z 0 1 � - 0 0 z 8 9 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/27/2017 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1212 ARBOR ST <br /> PIN : 10-117-23-24-0022 <br /> LEGAL DESC : MAXWELLS ADDN CRYSTAL BAY LAKE <br /> : LOT 000 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 300.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON S[TE AT FINAL INSPECTION. <br /> VENT LOWER LEVEL BATHROOM <br /> RELOCATE COMBUST[ON A[R VENT <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUAT[ON) 0.15 <br /> SERBUS HEATING&COOLING TOTAL 50.15 <br /> 272 INDUSTRIAL BLVD. Payment(s) <br /> WACONIA, MN 55387 <br /> (952)443-2819 <br /> OWNER <br /> 529 Indian Mound St Spydernt <br /> 401 LAKE ST E <br /> WAYZATA, MN 55391- <br /> AGREEMEIVT 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 goveming 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 /> requeste in conformance with the State Building Code.This permit may be <br /> revoke at�ny time for due cause. � <br /> L� J�G 1 � j r- ,�� I`� � � ���� �� <br /> A� ic nt Permitee � ature Date Issued Signature Date <br />