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, CITY OF ORONO * 2 0 1 z - 0 1 1 8 6 * <br /> � 2750 KELLEY PARKWAY DATE ISSUED: 1U20/2012 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3520 NORTH SHORE DR <br /> PIN : 08-117-23-43-0009 <br /> LEGAL DESC : BALDUR PARK <br /> : LOT 003 BLOCK 002 <br /> PERMIT TYPE : MECHAMCAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL- MULTIPLE <br /> VALUATION : $ 6,000.00 <br /> NOTE: (1)HEATING SYSTEM <br /> (1)COOLING SYSTEM <br /> (1)KITCHEN EXHAUST-DUCT-300 CFM <br /> (3)I3AT[-I EXHAUST-80 CFM <br /> GASLINE�OR KITCHEN STOVE,FIREPLACE AND DRYER <br /> APPLICANT MECHANICAL 75.00 <br /> STERN HEATING &COOL[NG STATE SURCHARGE MECH (VALUATION) 3.00 <br /> 34181 180TH AVENUE <br /> RED WING, MN 55066- TOTAL 78.00 <br /> (65l)764-1236 PAID WITH CC# 4154 <br /> OWNER <br /> PETERS ET AL, ANN L <br /> 3520 NORTH SHORE DR <br /> , MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specitications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant pennission 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 pern�it will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date or 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 /> rcquested in coniormance with the State Building Code.This permit may be <br /> revoked,�a�any�e f"6r due cause. <br /> : 't . <br /> �f�,�� itr���� ��:�': l l <br /> Applicant Permitee Signature Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />