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. CITY OF ORONO * 2 0 1 5 - 0 1 5 0 2 * <br /> " 2750 KELLEY PARKWAY DATE ISSUED: 1U24/2015 <br /> ORONO, MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 577 PARK LA <br /> PIN : 06-117-23-41-0046 <br /> LEGAL DESC : MINNETONKA SUMMIT PARK <br /> : LOT 012 BLOCK 006 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 1,500.00 <br /> NOTE: (1)K[TCHEN EXHAUST-6"DUCT REC[RCULAT[NG 296 CFM <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.75 <br /> WESTIN PLUMBING& HEATING INC TOTAL SOJS <br /> 15494 67TH STREET Payment(s) <br /> BECKER, MN 55308- CREDIT CARD 6236 50.75 <br /> (763)913-8613 <br /> Minnesota State License#: <br /> PLUM-PC645827,mech-MB003074 <br /> OWNER <br /> TEELE&AMY SULLIVAN-TEELE, BRENT <br /> 577 PARK LA <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 and become null and void if construc[ion authorized is not <br /> commenced within 180 days of the da[e 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 conform e with the State Building Code.This permit may be <br /> revoked at any time f due cause. <br /> , o �-�,�� �l �a �� <br /> Applicant Pe i e Signature Date Issued ignature Date <br />