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� � CITY OF ORONO * Z pJ 1 6 - 0 1 4 7 5 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U29/2016 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3186 NORTH SHORE DR <br /> PIN : 09-117-23-32-0010 <br /> LEGAL DESC : CRYSTAL BAY PARK <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : VENTILATION <br /> VALUATION : $ 250.00 <br /> NOTE: ALL TESTING REPORTS SHALL BE ON SITE AT FINAL INSPECTION. <br /> BATH EXHAUST <br /> APPLICAI�IT MECHANICAL 50.00 <br /> STATE SURCHARGE MECH(VALUATION) 0.13 <br /> JONES, MICHEAL&NATELE TOTAL 50.13 <br /> 3186 NORTH SHORE DR <br /> WAYZATA, MN 55391- Payment(s) <br /> CHECK 5140 50.13 <br /> OWNER <br /> JONES, MICHEAL&NATELE <br /> 3186 NORTH SHORE DR <br /> WAYZATA, MN 55391- <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 goveming 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 afrer 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 <br /> � .� '%� ' i� �l • �--e �� l�-�l �� <br /> �Cpplicant Permitee Signatu e te Issued By nature Date <br />