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111111111111111111111111111 11111111111H <br /> CITY OF ORONO * 2015 - 00843 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 07/06/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 2494616 <br /> ADDRESS : 2535 OLD BEACH RD <br /> PIN : 21-117-23-22-0019 <br /> LEGAL DESC : THE MARSH AT LAFAYETTE <br /> : LOT 006 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 1,000.00 <br /> NOTE: (1)KITCHEN EXHAUST-300 CFM <br /> VENT HOOD AND RELOCATE(2)R/A AND HRV <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.50 <br /> PRACTICAL SYSTEMS <br /> 4342B SHADY OAK RD MAIL-IN FEE 2.00 <br /> HOPKINS,MN 55343 TOTAL 52.50 <br /> (952)933-1868 Payment(s) <br /> CREDIT CARD 5815 52.50 <br /> OWNER <br /> CODUTE,TOM&ALICIA <br /> 2535 OLD BEACH RD <br /> WAYZATA,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 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 are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Ro r—'e 2 <br /> ,,�, & C_ <br /> ApplicanrPeffnitee Signature Date Igkued Signature Date <br />