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� ` <br /> CITY OF ORONO * Z 0 1 3 - 0 1 1 4 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 10/28/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1421 NORTH ARM DR <br /> PIN : 07-117-23-44-0073 <br /> LEGAL DESC : HIGHWOOD LAKE MTKA <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 1,500.00 <br /> NOTE: INFLOOR HEAT IN BASEMENT ROUGH-IN ONLY 700 SQUARE FEET. <br /> APPLICANT MECHANICAL 50.00 <br /> SERVEY PLUMBING STATE SURCHARGE MECH(VALUATION) 0.75 <br /> 10609 166TH ST W <br /> LAKEVILLE,MN 55044- TOTAL 50.75 <br /> (952)393-1272 PAID WITH CC# 6464 <br /> OWNER <br /> DJY Construction <br /> 3452 PILGRIM LN N <br /> PLYMOUTH,MN 55441- <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 does <br /> not grant permission for additional or related work which requires separate <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 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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any t' for due cause. <br /> � i �j 1,1,,c�� /l�l 2�r / <br /> Appl' i ee Signature Date ssue By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />