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CITY OF ORONO * z 0 1 6 — 0 0 1 1 2 * <br /> � � 2750 KELLEY PAF.KWAY DATE ISSUED: 02/03/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 1105 BROWN RD S <br /> PIN : 10-117-23-24-0004 <br /> LEGAL DESC : UNPLATTED 10 1 l7 23 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : ��y�j MULTIPLE <br /> VALUATION : $ 18,485.00 <br /> NOTE: (1)AIRE-FLO FURNACE <br /> (1)AIRE-FLO A/C <br /> (1)KITCHEN EXHAUST <br /> (6)BATH EXHAUST <br /> APPLICANT MECHAN[CAL 231.06 <br /> STATE SURCHARGE MECH(VALUATION) 9.24 <br /> SEDGWICK HEATING&A/C MAIL-IN FEE 2.00 <br /> 1408 NORTHLAND DR- SUITE 310 <br /> MENDOTA HEIGHTS,MN 55118- TOTAL 242.30 <br /> (952)881-9000 Payment(s) <br /> CHECK 16384 242.30 <br /> OWNER <br /> Norton Homes <br /> 18215 45TH AVE N, #D <br /> PLYMOUTH,MN 55441- <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 /> C�l�lr u�c.�cQ� -�l� �--i �-- i l � <br /> Applicant Permitee Signature Date Issued By �gnature Date <br /> ; <br />