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CITY OF ORONO <br /> * 2015 - 0019S * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/13/2015 <br /> ORONO,MN 55356- <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS 3705 TOGO RD <br /> PIN 17-117-23-31-0051 <br /> LEGAL DESC JAMES BARTH ADDITION <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE MECHANICAL(>$500) <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE MECHANICAL-MULTIPLE <br /> VALUATION $ 7,875.00 <br /> NOTE: 1 HEATING SYSTEM, 1 COOLING SYSTEM <br /> APPLICANT MECHANICAL 98.44 <br /> STATE SURCHARGE MECH(VALUATION) 3.94 <br /> STANDARD HEATING&AIR CONDITIONING MAIL-IN FEE 2.00 <br /> 130 PLYMOUTH AVENUE N. TOTAL 104.38 <br /> MINNEAPOLIS,MN 55411- Payment(s) <br /> 612-824-2656 CHECK 48174 104.38 <br /> OWNER <br /> ZLOTKOWSKI,JOSEPH <br /> 3725 TOGO ROAD <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 n- <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signalure Date <br />