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CITY OF ORONO *2 0 1 6 - 0 1 3 3 2 * <br /> . 2750 KELLEY PARKWAY DATE ISSUED: 10/19/2016 <br /> � ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS : 1669 NORTH FARM RD <br /> PIN : 27-118-23-44-0008 <br /> LEGAL DESC : THE FARM AT LONG LAKE <br /> : LOT 007 BLOCK 001 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 3,100.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> ADDITIONAL:VENTILATION,3 BATH EXHAUSTS AND MODIFY 8 SUPPLIES AND 1 RETURN <br /> APPLICANT MECHANICAL 50.00 <br /> SAYLER HEATING&AC STATE SURCHARGE MECH(VALUATION) 1.55 <br /> 6800 WEST LAKE ST. TOTAL 51.55 <br /> ST.LOUIS PARK,MN 55426- Payment(s) <br /> (612)702-6622 CREDIT CARD 3833 51.55 <br /> OWNER <br /> BEENDERS&PETER MONTGOMERIE,ANTOINETTE <br /> 1669 NORTH FARM RD <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> 1'he work for which this permit is issued shall be perfortned acwrding 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 /> pertnits. 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 1 SO 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 /> � I�J'l�i'l (� C`�/ <br /> Ap�{ic Pe �tee Signature Date Issued y Signature ' Date <br />