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• � CITY OF ORONO * z 0 1 4 - P1 0 1 3 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 02/18/2014 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952 249-4616 <br /> ADDRESS : 380 LEAF ST <br /> PIN : 04-117-23-23-0027 <br /> LEGAL DESC : AUDITOR'S SUBD.NO. 230 <br /> : LOT 026 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : MECHANICAL-MULTIPLE <br /> VALUATION : $ 550.00 <br /> NOTE: (2)BATH EXHAUST <br /> APPLICANT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.28 <br /> HEATING&COOLING TWO INC. MAIL-IN FEE 2.00 <br /> 18550 COUNTY ROAD 81 <br /> MAPLE GROVE,MN 55369- TOTAL 52.28 <br /> (763)428-3677 Payment(s) <br /> CREDIT CARD 4334 52.28 <br /> OWNER <br /> BURKE,FORREST&RENEE <br /> 380 LEAF ST <br /> LONG LAKE,MN 55356 <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 aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> � .2 �& � ,�.� � i l�i� <br /> Applicant Permitee Signat e Date Issu By Signature Date <br />