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= CITY OF ORONO * 2 0 1 6 - 0 1 2 1 7 * <br /> 'j 2750 KELLEY PARKWAY DATE ISSUED: 09/29/2016 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1820 LAKEVIEW TER <br /> PIN : 27-118-23-42-0012 <br /> LEGAL DESC : LONG LAKE COUNTRY CLUB ADDN <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 850.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL MSPECTION. <br /> REPLACE: 1 KITCHEN EXHAUST <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.43 <br /> BEN SCHERER PLUMBING&HVAC INC. TOTAL 50.43 <br /> 4520 85TH STREET SE Payment(s) <br /> DELANO,MN 55328- CHECK 4343 50.43 <br /> (763)972-8137 <br /> Minnesota State License#:mech-MB003633,p1bg-PC648530 <br /> OWNER <br /> KOKESH,DAN&JAMMIE <br /> 1820 LAKEVIEW TER <br /> LONG LAKE,MN 55356- <br /> AGREEMENT 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 dces <br /> not grant permission for additional or related work which requires separate <br /> permiu. 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 l80 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 � <br /> �'7� 5�l z�'l i-6 <br /> Applicant Permitee Signature Date Issued By ' ature Date <br />