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CITY OF ORONO 1111111 I 111 I 111111111111111111111 <br /> * 201 S - 01440 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 11/09/2015 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 820 OLD CRYSTAL BAY RD S <br /> PIN : 04-117-23-43-0008 <br /> LEGAL DESC : AUDITOR'S SUBD.NO.229 <br /> : LOT 027 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 11,000.00 <br /> NOTE: (1)TRANE FURNACE <br /> ADD DUCTWORK FOR ADDITION TO NEW BATH <br /> VENT BATH FAN <br /> RUN NEW DUCT IN CRAWL SPACE <br /> (1)REALLOOK OWNERS CONDENSER <br /> (1)KITCHEN EXHAUST-600 CFM <br /> (1)BATH EXHAUST- 110 CFM <br /> GASLINE TO KITCHEN RANGE <br /> APPLICANT MECHANICAL 137.50 <br /> STATE SURCHARGE MECH(VALUATION) 5.50 <br /> RAY N. WELTER HEATING CO MAIL-IN FEE 2.00 <br /> 4637 CHICAGO AVE <br /> MINNEAPOLIS,MN 55407- TOTAL 145.00 <br /> (612)825-6867 Payment(s) <br /> Minnesota State License#: mech-003163 CHECK 030065 145.00 <br /> OWNER <br /> FREES,KEATON&HANS <br /> 820 OLD CRYSTAL BAY RD S <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 /> 6-7/141/(kle_L) ki0 Or' Pei z) /// , /_ <br /> Applicant Permitee Signature Date Issued By nature Date <br />