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� . . <br /> CITY OF ORONO PERM[T NO.: 2011-01121 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/OS/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2732 CAROLINE AVE <br /> PIN : 20-117-23-24-0041 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1451 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCT[ON TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 1,400.00 <br /> NOTE: AIR EXCHANGER-VENMAR CONSTRUC'I'O- 1.5V <br /> APPLICANT MECHANICAL 50.00 <br /> AIR MECHANICAL, INC. STATE SURCHARGE MECH(VALUATION) 0.70 <br /> 16411 ABERDEEN ST NE <br /> HAM LAKE, MN 55304 MAIL-IN FEE 2.00 <br /> (763)434-7747 TOTAL 52.70 <br /> OWNER <br /> PERCIVAL, CHARLES& SUSAN <br /> 2732 CAROLINE AVE <br /> WAYZATA,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfonncd according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. 'I'his 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 commenceJ. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in eonformance with the State[3uilding Code.This permit may be <br /> revoke .at any�time for cause. <br /> (�_ �� /� /� �� / � / L <br /> App icant Permitee � nature Date Is d By Signature Date <br /> SEPARATE PERM[TS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />