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CITY OF ORONO * z 0 1 5 - 0 B 7 0� <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/04/2015 <br /> ' ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 3115 NORTH SHORE DR <br /> PIN : 09-117-23-32-0013 <br /> LEGAL DESC : REG.LAND SURVEY NO. 0269 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 600.00 <br /> NOTE: KITCHEN EXHAUST <br /> APPLICANT MECHANICAL 50.00 <br /> LEWIS HEATING AND AIR STATE SURCHARGE MECH(VALUATION) 0.30 <br /> 1371 144TH STREET TOTAL 50.30 <br /> NEW RICHMOND, WI 54017- Payment(s) <br /> (612)940-4565 CREDIT CARD 5225 50.30 <br /> Minnesota State License#:mech-PC671215 <br /> OWNER <br /> CONNELLY,THOMAS <br /> 3115 NORTH SHORE DR <br /> WAYZATA,MN 55391- <br /> AGREEME1vT AND SWORIY 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 /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> �-� /�� <br /> �'e�-s ` ---�z-' __---- � � /� (� � �l � l C <br /> Applicant Perm�tee Signature Date Issued By Signatur Date <br />