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CITY OF ORONO PERMIT NO.: 2011-00153 <br /> . 2750 KELLEY PARKWAY <br /> ORONO, MN 5535G- DATE ISSUED: 03/1U2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 1425 BAY RIDGE RD <br /> � PIN : 10-117-23-34-0017 <br /> LEGAL DESC : REG. LAND SURVEY NO. 0192 <br /> : LOT 000 BLOCK 000 <br /> � PERMIT TYPE : MECHANICAL(> $500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 5,000.00 <br /> NOTE: I KITCHGN GXHAUST <br /> � 4(3ATH I?XI IAUS"I' <br /> APPLICANT MECHANICAL 62.50 <br /> JOEL SMITH HEATING & AIR COND STATE SURCHARGE MECH (VALUATION) 5.00 <br /> 4920 173RD AVE NE <br /> HAM LAKE, MN 55304 MAIL-IN FEE 2.00 <br /> (763)792-1066 MISC FEE 0.00 <br /> TOTAL 69.50 <br /> OWNER <br /> WIENS, ROBERT&JULIE <br /> 1425 BAY RIDGE RD <br /> WAYZATA, MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> "I�hc work for��°hich this pennit is issued shall be performed accordinc to <br /> thc approvcd plans and specifications,applicable City approvals,and the <br /> State Building Code. This pern�it is for only the�vork dcscribed and does <br /> not grant permission 1or additional or related work which requires separate <br /> permits. All provisions of laws and ordii�ances governing this rype of work <br /> shall be compied with���hather or not speciticd herein.This pennit will <br /> expire and bccome null and void if coustruction authorized is nol <br /> commeneed within 180 days of thc date of issuance,or if construction is <br /> suspended for a period of 180 days al any time after work has commenced. <br /> I�he applicant is respunsible for assurine all required inspections are <br /> requestcd in conlormance with the State Building Code.This permit may bc <br /> revoked at any time for due cause. <br /> �`���vw[/4 �/I"L � � L��Yj�C�,.� l l <br /> Applicanl Permitcc Signature Date Issued By S�� ature ate <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABO E. <br />