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CITY OF ORONO [1111 [ F IF Uj 0 1 1 S4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11113/2012 <br /> ORONO,MN 55356- <br /> (952) 249-4600 FAX: (952)249-4616 <br /> ADDRESS : 680 ORCHARD PARK RD <br /> PIN : 32-118-23-22-0006 <br /> LEGAL DESC : ORCHARD PARK <br /> : LOT 014 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 585.00 <br /> NOTE: VENT(3)BATH FANS AND(1)DRYER VENT <br /> u±t4. Mee-ha/Ilea CdPLLC ,cS <br /> APPLICANT_ MECHANICAL 50.00 <br /> ,. , '1r -: • <br /> 21005 LANGFORD AVE STATE SURCHARGE MECH(VALUATION) 0.29 <br /> JORDAN,MN 55352 TOTAL 50.29 <br /> 0 PAID WITH CC# 1637 <br /> Minnesota State License#: 65625 <br /> OWNER <br /> WEGGE,MATT&LINDSAY <br /> 680 ORCHARD PARK RD <br /> LONG LAKE,MN 55356- <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. d be*'men and void if c• struction authorized is not <br /> coced hin 81 d. s of the Ate of issuance,or if construction is <br /> sty*- •-d fs :pe od i 180 day• any time after work has commenced. <br /> T s,hear is re po/ible for iii ring all required inspections are <br /> re. di i onto ce wi y State Building Code.This permit may be <br /> / / aka_ <br /> r- s ;dat. yime1. d - .. <br /> A.slie: t `T-rmttee Sig'ature Date <br /> Issue 10:y Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />