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iiiiiiiiiiiiiiiiiiiiiillillillillim <br /> CITY OF ORONO * 2016 - 00221 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/07/2016 <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 <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 500.00 <br /> NOTE: (1)BATH EXHAUST <br /> RELOCATE 1 OR 2 CEILING SUPPLIES IN MASTER BATH AND BEDROOM <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.25 <br /> PIERRE REFRIGERATION TOTAL 50.25 <br /> 1920 2ND AVE S Payment(s) <br /> ANOKA,MN 55303- CHECK 9779 50.25 <br /> (763)421-3604 <br /> Minnesota State License#:HVAC-005369 <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 /> — 04W # <br /> A li t Petmitee Signature Date Issued y ignature Date <br />