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CITY OF ORONO * Z 0 1 4 - 0 1 0 8 6 * <br /> ., 2750 KELLEY PARKWAY DATE ISSUED: 09/23/2014 <br /> � ORONO, MN 55356- <br /> 952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 145 MANOR CIR <br /> PIN : 04-117-23-11-0024 <br /> LEGAL DESC : COUNTRYSIDE MANOR 3RD ADDITION <br /> : LOT 1 BLOCK 1 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 650.00 <br /> NOTE: 1 KITCHEN EXHAUST <br /> APPLICANT MECHANICAL 50.00 <br /> SCHOENING MECH STATE SURCHARGE MECH(VALUATION) 0.33 <br /> 409 MADISON ST SE TOTAL 50.33 <br /> WATERTOWN, MN 55388- Payment(s) <br /> (952)292-2523 CREDIT CARD 4803 50.33 <br /> OWNER <br /> NAFSTAD,ADAM&KRISTIN <br /> 145 MANOR CIR <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMEIYT <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 rype 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 insp ctions aze <br /> requested in confo ce with the State Building od ,, his permit may be <br /> revoked at an ' e r due ca <br /> i <br /> ���-�- r� —v�e c�c� 9' �3 ,�5� <br /> Applicant Pe itee Sign re Date Issued By Signature Date <br />